NPIMap

Organization Active NPI

Friendship Health and Rehab Center South Inc

  • Skilled Nursing Facility
  • Roanoke, VA
National Provider Identifier
1346616422
Registry record updated Apr 20, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Skilled Nursing FacilityTaxonomy code 314000000X
Legal business name
FRIENDSHIP HEALTH AND REHAB CENTER SOUTH INC
Practice address
5647 Starkey Rd
Roanoke, VA 24018-9034
Phone
(540) 265-2100
NPI assigned
Aug 12, 2015
Last updated
Apr 20, 2026By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Apr 20, 2026

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name
Mr. Charles Michael Shannon
Title
Cfo
Phone
(540) 265-2100

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Skilled Nursing Facility 314000000X NU Primary

Addresses

Primary practice location

5647 Starkey Rd
Roanoke, VA 24018-9034

Mailing address

PO Box 7587
Roanoke, VA 24019-0587
Phone (540) 265-2100

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in VA

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20151216001948 VA Part A Provider - Skilled Nursing Facility 6204137201 Practice locations: Roanoke, VA

NPI to CCN mapping 1

The Medicare certification numbers (CCNs) connected to NPI 1346616422. Details of each certification follow.

Skilled nursing facility certification: CCN 495421

Legal name
FRIENDSHIP HEALTH AND REHAB CENTER SOUTH INC
Certification status
Active
Provider type (POS)
Nursing home – SNF/NF dual certification
Participating since
May 16, 2016
Last certification
Apr 25, 2024
Beds
120
Ownership / control type
Nonprofit Corporation
Multi-facility organization
Friendship Foundation
Organization structure
CorporationNon-profit
Incorporated
Mar 15, 2012 in VA
Enrollment address
5647 Starkey Rd
Roanoke, VA 24018-9034
Nursing home name
FRIENDSHIP HEALTH AND REHAB CENTER - SOUTH

Care Compare: Nursing home

Medicare Care Compare
Listed as
Friendship Health and Rehab Center - SouthCCN 495421 · All quality measures
Overall star rating
3 of 5
Health inspections
3 of 5
Staffing
4 of 5
Quality measures
4 of 5
Type
Medicare and Medicaid
Ownership
Non profit - Corporation
Certified
May 16, 2016
Medicare certification status
ActiveFrom the Provider of Services file
Certified beds
120112.4 residents per day on average
Penalties (3 years)
1Fines totaling $8,281

Processed by Care Compare on Aug 1, 2026.

Laboratory certificates & supplier records

Derived by NPIMap

These CMS records do not include an NPI. They are shown because their name and street address match this provider’s.

CLIA laboratory certificates

CLIA numberLaboratoryCertificateExpires
49D2111294Friendship Health and Rehab5647 Starkey Road, Roanoke, VA 24018Certificate of waiverApr 3, 2028

National Provider Directory

National Provider Directory

Locations

397 Hershberger Rd
Roanoke, VA 24012
Phone (540) 265-2100

5647 Starkey Rd
Roanoke, VA 24018
Phone (540) 265-8097

Ownership & related parties

All disclosed owners & managing parties 14

As disclosed on the Medicare enrollment (CMS All Owners files). Individuals include officers, directors and managing employees, who may not hold ownership.

NameRoleSinceShare
Cynthia D Mitchell Individual Corporate OfficerCorporate Secretary Apr 6, 2016
Lucian Y Grove Individual Corporate Director Mar 15, 2012
Robert H Sandel Individual Corporate Director Mar 15, 2012
Brandon Evans Individual W-2 Managing Employee Sep 24, 2018
Edwin R Feinour Individual Corporate Director Mar 15, 2012
John B Williamson Individual Corporate Director Jul 1, 2021
Joseph Hoff Individual Corporate OfficerCeo Jul 18, 2017
Glen C Combs Individual Corporate Director Mar 15, 2012
Charles M Shannon Individual Corporate OfficerCfo Mar 15, 2012
Cynda Ann Johnson Individual Corporate Director Mar 15, 2012
Kathryn Oelschlager Individual Corporate Director Mar 15, 2012
Friendship Foundation Inc Organization, Roanoke, VA Non-profit 5% Or Greater Direct Ownership Interest Mar 15, 2012 100%
Robert C Lawson Individual Corporate Director Mar 15, 2012
Nathaniel Bishop Individual Corporate Director Jul 1, 2021

Facilities with the same owner 2

Facilities that share an organizational owner with 5% or greater ownership or operational control.

Practitioners & affiliated clinicians

Practitioners 2

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

Affiliated clinicians 32

Clinicians who list this facility as an affiliation in Medicare Care Compare.

View all 32

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1439337600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1776643200000",
    "number": "1346616422",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 7587",
            "city": "ROANOKE",
            "state": "VA",
            "postal_code": "240190587",
            "telephone_number": "540-265-2100"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5647 STARKEY RD",
            "city": "ROANOKE",
            "state": "VA",
            "postal_code": "240189034",
            "telephone_number": "540-265-2100"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "FRIENDSHIP HEALTH AND REHAB CENTER SOUTH INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2015-08-12",
        "last_updated": "2026-04-20",
        "certification_date": "2026-04-20",
        "status": "A",
        "authorized_official_last_name": "SHANNON",
        "authorized_official_first_name": "CHARLES",
        "authorized_official_middle_name": "MICHAEL",
        "authorized_official_title_or_position": "CFO",
        "authorized_official_telephone_number": "540-265-2100",
        "authorized_official_name_prefix": "Mr."
    },
    "taxonomies": [
        {
            "code": "314000000X",
            "taxonomy_group": "",
            "desc": "Skilled Nursing Facility",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Roanoke, VA

Sources for this page

Verify at the official NPI Registry.