Pheasant Ridge Nursing & Rehab Center

LBN: Pheasant Ridge Facility Operations, Llc
Pheasant Ridge Nursing & Rehab Center is an health care organization with primary practice located at 4355 Pheasant Ridge Rd , Roanoke VA 24014-5272. The organization recently has only one registered license in Nursing & Custodial Care Facilities / Skilled Nursing Facility, which is considered as the primary health care specialty. Pheasant Ridge Facility Operations, Llc can be contacted via phone (540) 725-8210, or through Ussery, Kenneth via phone (407) 571-1550.

Contact Information

Primary practice address
4355 Pheasant Ridge Rd Roanoke VA 24014-5272
Phone: (540) 725-8210
Fax: (540) 725-5735
Website:
Map and Directions
Authorized official contact:
Name: Ussery, Kenneth
Phone: (407) 571-1550

Health care specialties

SpecialtyCodeLicense #State
Nursing & Custodial Care Facilities / Skilled Nursing Facility 314000000X

Profile Details

NPI number 1609884055
LBN Legal business name Pheasant Ridge Facility Operations, Llc
DBA Doing business as Pheasant Ridge Nursing & Rehab Center
Authorized official Ussery, Kenneth
Entity Organization
Organization subpart 1 No
Enumeration date Aug 3rd, 2006
Last updated Nov 27th, 2023 - about last year

1 Some organizations, which are providing health care services, may consist of units or departments that provide different types of health care services or have several separate physical locations, where health care service is provided. These units, departments or physical locations are not themselves legal entities. However, each of them is part of the organization, which is a legal entity. The organization may decide whether its subparts, if it has any, should have their own NPI numbers. In case a subpart conducts any HIPAA standard transactions by itself, without its parent's involvement, it must have its own NPI number.

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Identifiers

StateTypeNumberIssuer
All States NPI 1609884055 NPPES
Virginia MEDICAID 1609884055

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