Friendship Manor, Inc. – Skilled Nursing Facility, NPI 1417954140

Friendship Manor, Inc. is a healthcare provider. based in Roanoke, Virginia. specializing in Skilled Nursing Facility. The organization holds a License No. NH2558 (VA). The NPI Number for Friendship Manor, Inc. is 1417954140

Main info

Organization
Name
Friendship Manor, Inc.
NPI
1417954140
Phone
(540) 265-2185
Address
PO BOX 7577
Authorized Official
CHARLES MICHAEL SHANNON CFO
Enumeration Date
7 July 2005
Last Update Date
20 April 2026
Data current as of
19 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience69
Completeness90
Years active:20State licenses:1Digital endpoints

Provider Addresses for Friendship Manor, Inc.

  • PO BOX 7577

    ROANOKE, VA 240190577

    Phone: (540) 265-2185

    Fax: (540) 265-2051

    Type: Mailing

  • 327 HERSHBERGER RD

    ROANOKE, VA 240121983

    Phone: (540) 265-2100

    Type: Location

NPPES updates history

No NPPES updates recorded for this provider.

Prescription Activity

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Open Payments (CMS)

No Open Payments data available for this provider.

This can happen when there are no reportable CMS Open Payments records.

Medicare Enrollment & Revalidation

Source: CMS public data · Not endorsed by CMS ·

Educational use only—not medical, billing, or legal advice.

PECOS enrollment status

Participating (accepts Medicare assignment)

Enrollment effective: 2007-09-07

PECOS data refreshed: 2026-05-27

Medicare revalidation (CMS due date list)

Due date not assigned yet

CMS is tracking this Medicare enrollment for revalidation, but has not published a due date.

Enrollment records

1

Earliest due date

Not assigned (TBD)

CMS data updated

2026-06-01

Revalidation progress

  1. Medicare enrolled
  2. On CMS revalidation list
  3. Due date assigned
  4. Revalidate in PECOS

CMS enrollment records

Enrollment IDTypeSpecialtyStateDue date
O20070907000663OSkilled Nursing FacilityVATBD

What to do next

  • No action required while the due date shows TBD.
  • Check the CMS Revalidation Lookup Tool periodically — CMS updates the list about every 60 days.
  • Do not submit a revalidation application in PECOS until CMS publishes a concrete due date.

Verify on CMS Revalidation Lookup Tool

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Medicare Utilization (FFS)

Source: CMS public data · Not endorsed by CMS · Beneficiary counts under 11 are suppressed in source data ·

Educational use only—not medical, billing, or legal advice.

No Medicare fee-for-service utilization data available for this provider in our database.

Insurance plans in this area (ZIP 24019)

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Reviews

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Frequently asked questions

Does Friendship Manor, Inc. share an NPI with anyone else?
NPI numbers are unique to each provider or organization — Friendship Manor, Inc. uses 1417954140.
Is Friendship Manor, Inc. still practicing?
Friendship Manor, Inc. is currently listed as active in the public NPI registry.
What is Friendship Manor, Inc.'s primary classification?
Skilled Nursing Facility is the headline specialty for Friendship Manor, Inc. here. Clinical services aligned with this taxonomy classification.
Where should I expect Friendship Manor, Inc. on a map?
Expect Roanoke, Virginia as a primary anchor for Friendship Manor, Inc. unless the record lists multiple sites.
How many locations tie to this NPI?
2 practice locations appear in the available data.

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