NPI

4355 Pheasant Ridge Road Opco LLC

Doing business as Pheasant Ridge Nursing and Rehabilitation. NPI 1629886577

Read from the NPPES registry on October 23, 2026.

Facts

Status
Active
Type
Organization
Enumeration date
2024-12-24
Last updated
2025-03-10

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Specialties

Licenses

The registry row did not include a license.

Location

Practice location
4355 Pheasant Ridge Rd
City
Roanoke VA
Postal code
24014-5272
Phone
(540) 725-8210

Organization contact

Name
Tiffany Hoback
Title
Manager
Phone
(770) 698-9040

Medicare

PECOS
A PECOS enrollment row matches this NPI.

LEIE

No exclusion found for this NPI in the OIG LEIE file dated October 9, 2026. Confirm on OIG's online search.

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Nearby

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