Provider Demographics
NPI:1164568705
Name:CODY AND JANA SANDERS, INC.
Entity Type:Organization
Organization Name:CODY AND JANA SANDERS, INC.
Other - Org Name:PLATINUM HOME HEALTH, INC.
Other - Org Type:Doing Business As
Authorized Official - Title/Position:OWNER ADMINISTRATOR
Authorized Official - Prefix:MRS
Authorized Official - First Name:JANA
Authorized Official - Middle Name:LEIGH
Authorized Official - Last Name:SANDERS
Authorized Official - Suffix:
Authorized Official - Credentials:LVN
Authorized Official - Phone:903-739-8070
Mailing Address - Street 1:140 S COLLEGIATE DR
Mailing Address - Street 2:
Mailing Address - City:PARIS
Mailing Address - State:TX
Mailing Address - Zip Code:75460-6319
Mailing Address - Country:US
Mailing Address - Phone:903-739-8070
Mailing Address - Fax:903-739-8370
Practice Address - Street 1:140 S COLLEGIATE DRIVE
Practice Address - Street 2:
Practice Address - City:PARIS
Practice Address - State:TX
Practice Address - Zip Code:75460
Practice Address - Country:US
Practice Address - Phone:903-739-8070
Practice Address - Fax:903-739-8370
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2007-01-30
Last Update Date:2008-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TX009691251E00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251E00000XAgenciesHome Health
Provider Identifiers
StateIdentifier IDID TypeIssuer
TX180738001Medicaid
TX180738001Medicaid
TX457864Medicare Oscar/Certification