Friendship Manor, Inc.

Primary specialty

Skilled Nursing FacilityTaxonomy code 314000000X

License

0024760 Issued in IL

Legal business name

FRIENDSHIP MANOR, INC.

Practice address

1209 21St Avenue
Rock Island, IL 61201

Phone

(309) 786-9667

Fax

(309) 786-5611

NPI assigned

Nov 1, 2006

Last updated

May 9, 2013By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Mr. Ted Pappas Jr., LNHA

Title

Ceo/President

Phone

(309) 794-4109

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in IL

Enrollment records 1

NPI to CCN mapping 1

The Medicare certification numbers (CCNs) connected to NPI 1699852491. Details of each certification follow.

• CCN 146099 Skilled nursing facility · Active · Details

Skilled nursing facility certification: CCN 146099

Legal name

FRIENDSHIP MANOR INC

Doing business as

FRIENDSHIP MANOR

Certification status

Active

Provider type (POS)

Nursing home – SNF/NF distinct part

Participating since

Dec 9, 2005

Last certification

May 15, 2025

Beds

94

Ownership / control type

Other Nonprofit

Organization structure

CorporationNon-profit

Incorporated

Jul 14, 1942 in IL

Enrollment address

1209 21St Ave
Rock Island, IL 61201-7900

Nursing home name

FRIENDSHIP MANOR

Listed as

Friendship ManorCCN 146099 · All quality measures

Overall star rating

3 of 5

Health inspections

4 of 5

Staffing

4 of 5

Quality measures

1 of 5

Type

Medicare and Medicaid

Ownership

Non profit - Corporation

Certified

Dec 9, 2005

Medicare certification status

ActiveFrom the Provider of Services file

Certified beds

9486.0 residents per day on average

Penalties (3 years)

2Fines totaling $10,519

Processed by Care Compare on Aug 1, 2026.

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

CLIA laboratory certificates

All disclosed owners & managing parties 18

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

Owners & managing parties with NPI records 1

Owners and managing parties disclosed on this facility’s Medicare enrollment that are themselves Medicare-enrolled.

• Thomas Robert Staley, MD

  • Family Medicine Physician
  • Davenport, IA
  • NPI 1174750855

  Adp of the SNF, Operational/Managerial Control

  CMS ownership

Affiliated clinicians 2

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

• Himabindu Alla, MD

  • Family Medicine Physician
  • Moline, IL
  • NPI 1194780049

  Nursing home

  Care Compare affiliation
• Thomas Robert Staley, MD

  • Family Medicine Physician
  • Davenport, IA
  • NPI 1174750855

  Nursing home

  Care Compare affiliation

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

{
    "created_epoch": "1162339200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1368057600000",
    "number": "1699852491",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1209 21ST AVENUE",
            "city": "ROCK ISLAND",
            "state": "IL",
            "postal_code": "61201",
            "telephone_number": "309-786-9667",
            "fax_number": "309-786-5611"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1209 21ST AVENUE",
            "city": "ROCK ISLAND",
            "state": "IL",
            "postal_code": "61201",
            "telephone_number": "309-786-9667",
            "fax_number": "309-786-5611"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "FRIENDSHIP MANOR, INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-11-01",
        "last_updated": "2013-05-09",
        "status": "A",
        "authorized_official_last_name": "PAPPAS",
        "authorized_official_first_name": "TED",
        "authorized_official_title_or_position": "CEO/PRESIDENT",
        "authorized_official_telephone_number": "309-794-4109",
        "authorized_official_name_prefix": "Mr.",
        "authorized_official_name_suffix": "Jr.",
        "authorized_official_credential": "LNHA"
    },
    "taxonomies": [
        {
            "code": "314000000X",
            "taxonomy_group": "",
            "desc": "Skilled Nursing Facility",
            "state": "IL",
            "license": "0024760",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Teresa Francis-Tourney, RN
• Freed Medical Limited
• Steven M Freed, MD
• Fresenius Medical Care Quad Cities, LLC (Fresenius Medical Care Rock Island)
• Andrew Friederich, MD
• Katelin Ann Froelich
• Mary Elizabeth Frost, DC
• Shannon Danielle Fry, APRN
• Shu Fu, MA
• Jenesca Fuhrman

• Skilled Nursing Facility in Rock Island, IL
• Providers in Rock Island, IL by specialty
• Skilled Nursing Facility in Illinois

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 9, 2013; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; facility enrollments, owners and changes of ownership; Provider of Services certification data.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.