MEDICARE: PF DEVELOPMENT 7, LLC

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	251E00000X	Home Health Agency

General Provider Information

NPI Number	:	1104167717
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	PF DEVELOPMENT 7, LLC

Provider Business Mailing Address
First Line	:	6330 SPRINT PKWY STE 300
Second Line	:
City	:	OVERLAND PARK
State	:	KS
Zip	:	66211-1157
Country	:	US
Telephone Number	:
Fax Number	:

Provider Business Practice Location Address
First Line	:	3027 MARINA BAY DR STE 107
Second Line	:
City	:	LEAGUE CITY
State	:	TX
Zip	:	77573-2772
Country	:	US
Telephone Number	:	281-332-4147
Fax Number	:	281-338-1610

Authorized Official
Title or Position	:	AUTHORIZED OFFICIAL
Name	:	JOHN NICHOLS
Credential	:
Telephone Number	:	281-332-4147

Provider Enumeration Date	:	03/06/2013
Last Update Date	:	12/01/2023

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