Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.

4355 Pheasant Ridge Road Opco LLC

Organization Skilled Nursing Facility · NPI 1629886577

4355 Pheasant Ridge Road Opco LLC is a Skilled Nursing Facility in Roanoke, Virginia. Registered with an NPI since 2024.

In the registry since
2024
What do these letters mean?
LLC — Limited liability company
A form of business registration, not a clinical qualification.

See every abbreviation used in this directory →

Practice location Address checks out

4355 Pheasant Ridge Rd
Roanoke, VA 24014-5272
Phone: (540) 725-8210
Fax: (540) 725-5735
Show map & directions

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Skilled Nursing Facility (primary) Taxonomy 314000000X

Record details

NPI number1629886577
Entity typeOrganization (Type 2)
Organization subpartNo
Authorized official Tiffany Hoback — Manager · (770) 698-9040
Other names Pheasant Ridge Nursing And Rehabilitation
NPI enumeratedDecember 24, 2024
Last updated in NPPESMarch 10, 2025
Certification dateMarch 10, 2025
Mailing address4355 Pheasant Ridge Rd, Roanoke, VA 24014-5272

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