Provider Demographics
NPI:1235429580
Name:PLATINUM PALLIATIVE & HOSPICE CARE, INC.
Entity Type:Organization
Organization Name:PLATINUM PALLIATIVE & HOSPICE CARE, INC.
Other - Org Name:
Other - Org Type:
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:903-517-9948
Mailing Address - Street 1:140 S COLLEGIATE DR
Mailing Address - Street 2:SUITE 100
Mailing Address - City:PARIS
Mailing Address - State:TX
Mailing Address - Zip Code:75460-6319
Mailing Address - Country:US
Mailing Address - Phone:903-783-1818
Mailing Address - Fax:903-739-8370
Practice Address - Street 1:140 S COLLEGIATE DR
Practice Address - Street 2:SUITE 100
Practice Address - City:PARIS
Practice Address - State:TX
Practice Address - Zip Code:75460-6319
Practice Address - Country:US
Practice Address - Phone:903-783-1818
Practice Address - Fax:903-739-8370
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2011-04-07
Last Update Date:2011-04-07
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251G00000XAgenciesHospice Care, Community Based