PF Development 18, LLC

Primary specialty

Community Based Hospice Care AgencyTaxonomy code 251G00000X

Legal business name

PF DEVELOPMENT 18, LLC

Practice address

410 N Center Dr
Building 9, Suite 102
Norfolk, VA 23502-4146

Phone

(757) 961-0049

NPI assigned

Mar 18, 2010

Organization subpart

No

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name

Ms. Ruth C. Schwartz

Title

Assistant Secretary

Phone

(913) 814-2288

Specialties & licenses 1

Addresses

Other identifiers 1

Other names 1

• Kindred Hospice Doing business as

Locations

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Narizza Quemuel Ibay, R.N.

  • Home Health Registered Nurse
  • Norfolk, VA
  • NPI 1801110937
  NPD (past)

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1268870400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1475539200000",
    "number": "1285958306",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "12900 FOSTER ST",
            "address_2": "SUITE 400",
            "city": "OVERLAND PARK",
            "state": "KS",
            "postal_code": "662132704"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "410 N CENTER DR",
            "address_2": "BUILDING 9, SUITE 102",
            "city": "NORFOLK",
            "state": "VA",
            "postal_code": "235024146",
            "telephone_number": "757-961-0049"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PF DEVELOPMENT 18, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2010-03-18",
        "last_updated": "2016-10-04",
        "status": "A",
        "authorized_official_last_name": "SCHWARTZ",
        "authorized_official_first_name": "RUTH",
        "authorized_official_middle_name": "C.",
        "authorized_official_title_or_position": "ASSISTANT SECRETARY",
        "authorized_official_telephone_number": "913-814-2288",
        "authorized_official_name_prefix": "Ms."
    },
    "taxonomies": [
        {
            "code": "251G00000X",
            "taxonomy_group": "",
            "desc": "Hospice Care, Community Based",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "611612443",
            "state": "VA"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Kindred Hospice",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Stephen Thomas Petr, MD
• Petra McDonald, LCSW, LLC
• Rebecca L Petrella-Grose
• Kelli A Petronis, M.D.
• Amanda Petroski, CSA
• Rebecca Brown Pfeiffer, CRNA
• Jason Pham, MD
• Daniel Delmus Phelps
• Pamela Phelps
• Serina Phillip, RPH

• Community Based Hospice Care Agency in Norfolk, VA
• Providers in Norfolk, VA by specialty
• Community Based Hospice Care Agency in Virginia

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 4, 2016; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.