Provider Demographics
NPI:1558794305
Name:PLATINUM CARE MANAGEMENT
Entity Type:Organization
Organization Name:PLATINUM CARE MANAGEMENT
Other - Org Name:ABSOLUTE CARE
Other - Org Type:Doing Business As
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:MR
Authorized Official - First Name:LAVAR
Authorized Official - Middle Name:
Authorized Official - Last Name:VEALE
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:210-896-2921
Mailing Address - Street 1:2327 CORTONA MIST
Mailing Address - Street 2:
Mailing Address - City:SAN ANTONIO
Mailing Address - State:TX
Mailing Address - Zip Code:78260-2622
Mailing Address - Country:US
Mailing Address - Phone:210-896-2921
Mailing Address - Fax:
Practice Address - Street 1:2327 CORTONA MIST
Practice Address - Street 2:
Practice Address - City:SAN ANTONIO
Practice Address - State:TX
Practice Address - Zip Code:78260-2622
Practice Address - Country:US
Practice Address - Phone:210-896-2921
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2013-08-15
Last Update Date:2013-08-15
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes253Z00000XAgenciesIn Home Supportive Care