NPIMap

Organization Active NPI

Friendship Health and Rehab Center, Inc.

  • Skilled Nursing Facility
  • Roanoke, VA
National Provider Identifier
1417954140
Registry record updated Apr 20, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Skilled Nursing FacilityTaxonomy code 314000000X
License
NH2558 Issued in VA
Legal business name
FRIENDSHIP HEALTH AND REHAB CENTER, INC.
Practice address
327 Hershberger Rd
Roanoke, VA 24012-1983
Phone
(540) 265-2100
NPI assigned
Jul 7, 2005
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
Charles Michael Shannon
Title
Cfo
Phone
(540) 777-4044

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Skilled Nursing Facility 314000000X NH2558 VA Primary

Addresses

Primary practice location

327 Hershberger Rd
Roanoke, VA 24012-1983

Mailing address

PO Box 7577
Roanoke, VA 24019-0577
Phone (540) 265-2185

Other identifiers 1

IdentifierTypeStateIssuer
49-5044-5MedicaidVA

Other names 1

  • Friendship Manor, Inc. Former legal business name

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20070907000663 VA Part A Provider - Skilled Nursing Facility 8628161577 Practice locations: Roanoke, VA

Skilled nursing facility certification: CCN 495092

Legal name
FRIENDSHIP HEALTH AND REHAB CENTER, INC.
Doing business as
FRIENDSHIP MANOR INC
Certification status
Active
Provider type (POS)
Nursing home – SNF/NF dual certification
Participating since
Aug 1, 1974
Last certification
Oct 29, 2024
Beds
253
Ownership / control type
Nonprofit Corporation
Multi-facility organization
Friendship Foundation
Organization structure
CorporationNon-profit
Incorporated
Oct 5, 1972 in VA
Enrollment address
327 Hershberger Road
Roanoke, VA 24012-1983
Nursing home name
FRIENDSHIP HEALTH AND REHAB CENTER

Care Compare: Nursing home

Medicare Care Compare
Listed as
Friendship Health and Rehab CenterCCN 495092
Overall star rating
4 of 5
Health inspections
4 of 5
Staffing
3 of 5
Quality measures
4 of 5
Type
Medicare and Medicaid
Ownership
Non profit - Corporation
Certified
Aug 1, 1974
Medicare certification status
ActiveFrom the Provider of Services file
Certified beds
253230.2 residents per day on average

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
49D0231271Friendship Health and Rehab Center327 Hershberger Rd NW, Roanoke, VA 24012Certificate of waiverAug 31, 2026

National Provider Directory

National Provider Directory

Ownership & related parties

All disclosed owners & managing parties 13

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 Sep 1, 1999
Robert H Sandel Individual Corporate Director Mar 7, 2007
Edwin R Feinour Individual Corporate Director Dec 1, 1990
John B Williamson Individual Corporate Director Jul 1, 2021
Joseph Hoff Individual Corporate Officer Jul 18, 2017
Glen C Combs Individual Corporate Director Mar 1, 2000
Charles M Shannon Individual Corporate OfficerCfo Apr 1, 2014
Operational/Managerial Control Nov 30, 2004
Cynda Ann Johnson Individual Corporate Director Jul 1, 2011
Kathryn Oelschlager Individual Corporate Director Jul 1, 2011
Friendship Foundation Inc Organization, Roanoke, VA Non-profit Operational/Managerial Control Aug 11, 1987 100%
Robert C Lawson Individual Corporate Director Mar 7, 2007
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

Affiliated clinicians 13

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

View all 13

NPI Registry JSON

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

{
    "created_epoch": "1120694400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1776643200000",
    "number": "1417954140",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 7577",
            "city": "ROANOKE",
            "state": "VA",
            "postal_code": "240190577",
            "telephone_number": "540-265-2185",
            "fax_number": "540-265-2051"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "327 HERSHBERGER RD",
            "city": "ROANOKE",
            "state": "VA",
            "postal_code": "240121983",
            "telephone_number": "540-265-2100"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "FRIENDSHIP HEALTH AND REHAB CENTER, INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2005-07-07",
        "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": "540-777-4044"
    },
    "taxonomies": [
        {
            "code": "314000000X",
            "taxonomy_group": "",
            "desc": "Skilled Nursing Facility",
            "state": "VA",
            "license": "NH2558",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "49-5044-5",
            "state": "VA"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Friendship Manor, Inc.",
            "code": "4",
            "type": "Former Legal Business Name"
        }
    ]
}

Other providers in Roanoke, VA

Sources for this page

Verify at the official NPI Registry.