MEDICARE: LMP DEVELOPMENT, 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	310400000X	Assisted Living Facility	138781	TX

General Provider Information

NPI Number	:	1881051589
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	LMP DEVELOPMENT, LLC

Provider Business Mailing Address
First Line	:	11718 BEDFORD ST
Second Line	:
City	:	HOUSTON
State	:	TX
Zip	:	77031-2112
Country	:	US
Telephone Number	:	847-363-2144
Fax Number	:

Provider Business Practice Location Address
First Line	:	11718 BEDFORD ST
Second Line	:
City	:	HOUSTON
State	:	TX
Zip	:	77031-2112
Country	:	US
Telephone Number	:	847-363-2144
Fax Number	:

Authorized Official
Title or Position	:	MANAGER
Name	:	PATRICK J FINN
Credential	:
Telephone Number	:	847-363-2144

Provider Enumeration Date	:	01/26/2016
Last Update Date	:	01/26/2016

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