South Roanoke Life Care, LLC
NPI 1093799439ActiveOrganization· Skilled Nursing Facility· Roanoke, VA
Skilled Nursing Facility in Roanoke, Virginia, registered in NPPES in November 2005. The authorized official on file is Cassandra Gallant, Compliance & Privacy Officer. Enrolled in Medicare as part a provider - skilled nursing facility.
Overview
| NPI | 1093799439 |
|---|---|
| Status | Active |
| Entity type | Organization |
| NPI issued | Nov 30, 2005 |
| Last updated in NPPES | Nov 3, 2025 |
| Certified by provider | Nov 3, 2025 |
Specialties and licenses
| Taxonomy | Code | License | State |
|---|---|---|---|
| Skilled Nursing Facility Primary | 314000000X | 49-5002 | VA |
Exclusion screening
| List | Result | Details |
|---|---|---|
| HHS-OIG LEIE · Nov 10, 2026 | No match | Checked by NPI and by name + state |
| North Carolina Medicaid · Nov 11, 2026 | No match | — |
| New York OMIG · Nov 11, 2026 | No match | — |
| Ohio Medicaid · Nov 11, 2026 | No match | — |
| Pennsylvania Medicheck · Nov 11, 2026 | No match | — |
| Washington HCA · Nov 11, 2026 | No match | — |
Official OIG search · How matching works ·Bulk check a roster
Medicare
| Enrollment (PECOS) | Enrolled Part A Provider - Skilled Nursing Facility (VA) |
|---|
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