Provider Demographics
NPI:1659884559
Name:THE FEINOUR CENTER - ADULT MEDICAL DAY CARE
Entity Type:Organization
Organization Name:THE FEINOUR CENTER - ADULT MEDICAL DAY CARE
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:DIRECTOR
Authorized Official - Prefix:
Authorized Official - First Name:MIKE
Authorized Official - Middle Name:
Authorized Official - Last Name:SHANNON
Authorized Official - Suffix:
Authorized Official - Credentials:CFO
Authorized Official - Phone:540-283-4433
Mailing Address - Street 1:324 HERSHBERGER RD NW
Mailing Address - Street 2:
Mailing Address - City:ROANOKE
Mailing Address - State:VA
Mailing Address - Zip Code:24012-1963
Mailing Address - Country:US
Mailing Address - Phone:540-283-4433
Mailing Address - Fax:540-283-4439
Practice Address - Street 1:324 HERSHBERGER RD NW
Practice Address - Street 2:
Practice Address - City:ROANOKE
Practice Address - State:VA
Practice Address - Zip Code:24012-1963
Practice Address - Country:US
Practice Address - Phone:540-283-4433
Practice Address - Fax:540-283-4439
EIN:<UNAVAIL>
Is Organization Subpart?:Yes
Parent Organization LBN:FRIENDSHIP MANOR APARTMENT VILLAGE CORP.
Parent Organization TIN:<UNAVAIL>
Enumeration Date:2017-11-14
Last Update Date:2023-03-09
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
VAADC1103765261QA0600X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes261QA0600XAmbulatory Health Care FacilitiesClinic/CenterAdult Day Care
Provider Identifiers
StateIdentifier IDID TypeIssuer
VA0342689673Medicaid