PF DEVELOPMENT 15, LLC (NPI# 1821398447) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1821398447 |
| Entity Type | Organization |
| Organization Name | PF DEVELOPMENT 15, LLC |
| Other Organization Name | KINDRED AT HOME II |
| Practice Address |
743 Fairgrounds Rd. Mount Vernon OH 43050-1165 |
| Mailing Address |
12900 Foster St Ste 400 Overland Park KS 66213-2696 |
| Practice Telephone | 6143972225 |
| Enumeration Date | 2010-10-29 |
| Last Update Date | 2019-05-03 |
| Authorized Official Name | JANET COMBS (ASSISTANT SECRETARY) |
| Authorized Official Telephone | 9138142013 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 251E00000X | Home Health | Agencies |
| Other Name | Type Code |
|---|---|
| Kindred at Home II | Doing Business As Name - Organization |
| Street Address |
743 FAIRGROUNDS RD. |
| City | MOUNT VERNON |
| State | OH |
| Zip Code | 43050-1165 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1043739972 | Roxanne Renee Berry | Case Manager/Care Coordinator | Bhp 8402 Blackjack Rd, Mt Vernon, OH 43050 | 2017-09-12 |
| 1477079309 | Blaine Elizabeth Barr | Case Manager/Care Coordinator | 510 Mitchell Avenue, Mount Vernon, OH 43050 | 2017-08-22 |
| 1205351004 | Knox Community Hospital | Durable Medical Equipment & Medical Supplies | 1330 Coshocton Ave., Mount Vernon, OH 43050 | 2017-08-14 |
| 1568998722 | Jami Passwaters | Case Manager/Care Coordinator | 8402 Blackjack Road, Mount Vernon, OH 43050 | 2017-05-10 |
| 1962892661 | Mount Vernon Nh LLC | Assisted Living Facility | 1135 East Gambier Street, Mount Vernon, OH 43050 | 2015-02-02 |
| 1881009017 | Pamela Robinson | Licensed Practical Nurse | 10263 Tucker Road, Mount Vernon, OH 43050 | 2014-06-26 |
| 1356756837 | Charla Sue Johnson | Licensed Practical Nurse | 228 Delano Street, Mt Vernon, OH 43050 | 2014-06-24 |
| 1588076236 | Erica Ferrell | Licensed Practical Nurse | 701 West Burgess Street, Mount Vernon, OH 43050 | 2014-05-29 |
| 1386085637 | Genesis Rehab Services | Assisted Living Facility | 6918 Wigton Road, Mount Vernon, OH 43050 | 2013-07-16 |
| 1427310473 | Jonathan Titus Hardin | Family Medicine | 1330 Coschocton Road, Mount Vernon, OH 43050 | 2012-06-14 |
| Find all providers in zip 43050 | ||||
| Taxonomy Code | 251E00000X |
| Grouping | Agencies |
| Classification | Home Health |
| A public agency or private organization, or a subdivision of such an agency or organization, that is primarily engaged in providing skilled nursing services and other therapeutic services, such as physical therapy, speech-language pathology services, or occupational therapy, medical social services, and home health aide services. It has policies established by a professional group associated with the agency or organization (including at least one physician and one registered nurse) to govern the services and provides for supervision of such services by a physician or a registered nurse; maintains clinical records on all patients; is licensed in accordance with State or local law or is approved by the State or local licensing agency as meeting the licensing standards, where applicable; and meets other conditions found by the Secretary of Health and Human Services to be necessary for health and safety. |
| Notes: Source: CFR42 Chapter IV Part 484, http://www.access.gpo.gov/nara/cfr/waisidx_99/42cfr484_99.html [7/1/2007: definition added, source added] |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1336754308 | Carrie A Hess | Home Health | 3292 Larimore Rd, Mount Vernon, OH 43050-9427 | 2020-09-15 |
| 1093334559 | Vitalyze LLC | Home Health | 40 Melrose Ave, Mount Vernon, NY 10552-3109 | 2020-04-14 |
| 1821658105 | Tanesha Dawson | Home Health | 55 Sheridan Ave Apt D22, Mount Vernon, NY 10552-2503 | 2019-06-18 |
| 1235673930 | Simpson Solutions, LLC | Home Health | 20 E First St Ste 208, Mount Vernon, NY 10550-3376 | 2016-12-14 |
| 1730554197 | Tamaya Daniela Findley | Home Health | 412 Hancock Ave, Mount Vernon, NY 10553-1720 | 2015-12-09 |
| 1073998019 | Sunrise Services, Inc. | Home Health | 1908 Riverside Dr, Mount Vernon, WA 98273-5411 | 2015-07-20 |
| 1912336330 | Dianas Angels Home Care Inc | Home Health | 136 Stevens Ave, Mount Vernon, NY 10550-2604 | 2013-11-06 |
| 1538505508 | Loving Arms Nursing Services | Home Health | 465 East Lincoln Ave, Mount Vernon, NY 10552 | 2013-05-17 |
| 1033425905 | Complete Medical Personnel | Home Health | 159 S 11th Ave, Suite 2s, Mount Vernon, NY 10550-2928 | 2010-08-29 |
| 1720251325 | Knox Community Hospital | Home Health | 307 Vernedale Drive, Ste B, Mount Vernon, OH 43050 | 2008-04-04 |
| Find all providers in MOUNT VERNON | ||||
| City | MOUNT VERNON |
| Zip Code | 43050 |
Please comment or provide details below to improve the information on PF DEVELOPMENT 15, LLC.
| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.