NPIMap

Organization Active NPI

PF Development 5, LLC

  • Home Health Agency
  • Rockford, IL
National Provider Identifier
1679973887
Registry record updated May 20, 2015
On this page

Key facts

NPPES NPI Registry
Primary specialty
Home Health AgencyTaxonomy code 251E00000X
License
1011600 Issued in IL
Legal business name
PF DEVELOPMENT 5, LLC
Practice address
4430 Manchester Dr
Suite G-1
Rockford, IL 61109-8316
Phone
(815) 397-8930
Fax
(815) 397-8968
NPI assigned
Aug 26, 2014
Organization subpart
No

NPPES NPI Registry

Updated by the provider on May 20, 2015

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

Authorized official

Name
Ruth Schwartz
Title
Assistant Secretary
Phone
(913) 814-2288

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Home Health Agency 251E00000X 1011600 IL Primary

Addresses

Primary practice location

4430 Manchester Dr
Suite G-1
Rockford, IL 61109-8316

Mailing address

4430 Manchester Dr
Suite G-1
Rockford, IL 61109-8316
Phone (815) 397-8930

Other names 1

  • Kindred at Home - Chicago Home Health Doing business as

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in IL

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20121016000018 IL Part A Provider - Home Health Agency 8325298060 2 other NPIs on this enrollment
This NPI is an additional NPI on the enrollment
Practice locations: Buffalo Grove, IL; Pingree Grove, IL

Home health agency certification: CCN 147979

Legal name
PF DEVELOPMENT 5 LLC
Doing business as
CENTERWELL HOME HEALTH II
Certification status
Active
Provider type (POS)
Home health agency
Participating since
Jun 21, 2007
Last certification
Jun 21, 2007
Ownership / control type
Proprietary
Organization structure
LLCProprietary
Enrollment address
135 N Arlington Heights Rd
Ste 104
Buffalo Grove, IL 60089-8214

Other NPIs on the same Medicare enrollment 2

NPIs listed together on one Medicare enrollment, typically parts of the same organization.

National Provider Directory

National Provider Directory

Locations

4430 Manchester Dr
Ste G1
Rockford, IL 61109
Phone (815) 397-8930

Ownership & related parties

All disclosed owners & managing parties 12

As disclosed on the Medicare enrollment (CMS All Owners files). Individuals include officers, directors and managing employees, who may not hold ownership.

NameRoleSinceShare
Courtney D Durall Individual Corporate OfficerSecretary Sep 5, 2025
Celeste Mellet Individual Corporate OfficerChief Financial Officer Jan 15, 2026
Daniel K Feld Individual Corporate OfficerDirector, Tax Apr 1, 2024
Lloyd K Allen Individual Corporate OfficerPresident, Home Health Apr 1, 2024
Corporate DirectorBoard Member Apr 1, 2024
Kentucky Homecare Parent Inc. Organization, Louisville, KY Corporation, Holding company, For-profit 5% Or Greater Indirect Ownership Interest Jul 2, 2018 100%
Robert M Marcoux Individual Corporate OfficerVice President & Treasurer Apr 1, 2024
Sharday Merdja Individual W-2 Managing EmployeeManager, Home Health Licensure Aug 25, 2025
Beverly Harvey Individual W-2 Managing EmployeeAdministrator Oct 1, 2018
Kentucky Homecare Holdings, Inc. Organization, Louisville, KY Corporation, Holding company, For-profit 5% Or Greater Indirect Ownership Interest Jul 2, 2018 100%
Humana Inc Organization, Louisville, KY Corporation, For-profit 5% Or Greater Indirect Ownership Interest Aug 17, 2021 100%
Centerwell Health Services Inc Organization, Louisville, KY Holding company, Chain home office, Owned by another organization or individual 5% Or Greater Direct Ownership Interest Jul 2, 2018 100%
Sean Turner Individual Corporate OfficerVP Revenue Cycle Mar 17, 2025

Affiliated clinicians 48

Clinicians who list this facility as an affiliation in Medicare Care Compare.

View all 48

Care Compare: Home health agency

Medicare Care Compare
Listed as
Centerwell Home Health IICCN 147979
Overall star rating
5 of 5
Ownership
Proprietary
Certified
Jun 21, 2007
Medicare certification status
ActiveFrom the Provider of Services file
Services
Nursing, Medical social, Home health aide, Physical therapy, Speech pathology, Occupational therapy

NPI Registry JSON

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

{
    "created_epoch": "1409011200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1432080000000",
    "number": "1679973887",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4430 MANCHESTER DR",
            "address_2": "SUITE G-1",
            "city": "ROCKFORD",
            "state": "IL",
            "postal_code": "611098316",
            "telephone_number": "815-397-8930",
            "fax_number": "815-397-8968"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4430 MANCHESTER DR",
            "address_2": "SUITE G-1",
            "city": "ROCKFORD",
            "state": "IL",
            "postal_code": "611098316",
            "telephone_number": "815-397-8930",
            "fax_number": "815-397-8968"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PF DEVELOPMENT 5, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2014-08-26",
        "last_updated": "2015-05-20",
        "status": "A",
        "authorized_official_last_name": "SCHWARTZ",
        "authorized_official_first_name": "RUTH",
        "authorized_official_title_or_position": "ASSISTANT SECRETARY",
        "authorized_official_telephone_number": "913-814-2288"
    },
    "taxonomies": [
        {
            "code": "251E00000X",
            "taxonomy_group": "",
            "desc": "Home Health",
            "state": "IL",
            "license": "1011600",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Kindred at Home - Chicago Home Health",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Rockford, IL

Sources for this page

Verify at the official NPI Registry.