FRIENDSHIP HEALTH AND REHAB CENTER SOUTH INC (NPI# 1346616422) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1346616422 |
| Entity Type | Organization |
| Organization Name | FRIENDSHIP HEALTH AND REHAB CENTER SOUTH INC |
| Practice Address |
5647 Starkey Rd Roanoke VA 24018-9034 |
| Mailing Address |
Po Box 7587 Roanoke VA 24019-0587 |
| Practice Telephone | 5402652100 |
| Mailing Telephone | 5402652100 |
| Enumeration Date | 2015-08-12 |
| Last Update Date | 2015-08-12 |
| Authorized Official Name | MR. CHARLES MICHAEL SHANNON (CFO) |
| Authorized Official Telephone | 5402652100 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 314000000X | Skilled Nursing Facility | Nursing & Custodial Care Facilities |
| Street Address |
5647 STARKEY RD |
| City | ROANOKE |
| State | VA |
| Zip Code | 24018-9034 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1770140253 | Luz Dione Carr | Nurse Practitioner | 1934 Maple Leaf Drive, Roanoke, VA 24018 | 2019-05-21 |
| 1467926527 | Embrace Foster Care, LLC | Foster Care Agency | 3912 Electric Road, Building C, Roanoke, VA 24018 | 2019-01-11 |
| 1174005417 | Roanoke Valley Ent & Allergy PC | Otolaryngology | 2154 Mcvitty Rd, Second Floor, Roanoke, VA 24018 | 2018-09-04 |
| 1265928535 | Jane Willis Warner | Behavior Technician | 3243 Electric Road Building E Suite 1b, Roanoke, VA 24018 | 2018-07-10 |
| 1821584640 | Anchor To Hope Counseling LLC | Counselor | 4370 Starkey Rd Ste 4c-1, Roanoke, VA 24018 | 2018-07-04 |
| 1164938619 | Aurora Domangue | Behavior Technician | 3243 Electric Road, Building E Suite 1b, Roanoke, VA 24018 | 2017-12-20 |
| 1376059089 | Maggie Marie Ridgeway | Behavior Technician | 3243 Electric Rd., Building E Suite 1b, Roanoke, VA 24018 | 2017-12-18 |
| 1700301850 | Nicole Graboski | Speech-Language Pathologist | 4920 Woodmar Drive Sw, Roanoke, VA 24018 | 2017-08-10 |
| 1891215893 | Kimberly Anne Rosenberger | Occupational Therapy Assistant | 2772 Hillbrook Dr., Roanoke, VA 24018 | 2017-06-21 |
| 1083158950 | Encompass Home Health of Roanoke, LLC | Home Health | 5115 Bernard Drive, Suite 205, Roanoke, VA 24018 | 2016-12-13 |
| Find all providers in zip 24018 | ||||
| Taxonomy Code | 314000000X |
| Grouping | Nursing & Custodial Care Facilities |
| Classification | Skilled Nursing Facility |
| (1) A skilled nursing facility is a facility or distinct part of an institution whose primary function is to provide medical, continuous nursing, and other health and social services to patients who are not in an acute phase of illness requiring services in a hospital, but who require primary restorative or skilled nursing services on an inpatient basis above the level of intermediate or custodial care in order to reach a degree of body functioning to permit self care in essential daily living. It meets any licensing or certification standards et forth by the jurisdiction where it is located. A skilled nursing facility may be a freestanding facility or part of a hospital that has been certified by Medicare to admit patients requiring subacute care and rehabilitation; (2) Provides non-acute medical and skilled nursing care services, therapy and social services under the supervision of a licensed registered nurse on a 24-hour basis. |
| Notes: Source: (1) "Glossary of terms used in managed care" Developed by the Managed Care Assembly (MCA) of Medical Group Management Association (MGMA), MGM Journal, September/October 1995, p. 64; (2) AHA Guide, 1996 Annual Survey. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1558444505 | Avante At Roanoke, Inc. | Skilled Nursing Facility | 324 King George Ave Sw, Roanoke, VA 24016-5213 | 2006-10-23 |
| 1205918794 | Apostolic Christian Home of Roanoke Illinois Inc. | Skilled Nursing Facility | 1102 W Randolph St, Roanoke, IL 61561-7528 | 2006-10-20 |
| 1245330299 | Our Lady of The Valley, Inc. | Skilled Nursing Facility | 650 N Jefferson St, Roanoke, VA 24016-1427 | 2006-09-22 |
| 1235242322 | Springtree Health Care Center Ltm | Skilled Nursing Facility | 3433 Springtree Dr Ne, Roanoke, VA 24012-6443 | 2006-08-16 |
| 1679686877 | Medical Facilities of America Li | Skilled Nursing Facility | 1527 Grandin Rd Sw, Roanoke, VA 24015-2305 | 2006-08-15 |
| 1295770162 | Virginia Lutheran Homes, Inc. | Skilled Nursing Facility | 3837 Brandon Ave Sw, Roanoke, VA 24018-1441 | 2006-06-17 |
| 1477597227 | Roanoke Healthcare Center LLC | Skilled Nursing Facility | 680 Seymour Dr, Roanoke, AL 36274-1547 | 2006-06-15 |
| 1407897135 | Generation Leasing Company II, LLC | Skilled Nursing Facility | 4355 Pheasant Ridge Rd, Roanoke, VA 24014-5272 | 2006-06-10 |
| 1366493066 | Phoenix Healthcare LLC | Skilled Nursing Facility | 1235 Yancey St, Roanoke, AL 36274-2141 | 2006-05-15 |
| 1093799439 | South Roanoke Life Care, LLC | Skilled Nursing Facility | 3823 Franklin Rd Sw, Roanoke, VA 24014 | 2005-11-30 |
| Find all providers in ROANOKE | ||||
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| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.