Provider Demographics
NPI:1962484071
Name:PLATINUM HHS CARE INCORORATED
Entity Type:Organization
Organization Name:PLATINUM HHS CARE INCORORATED
Other - Org Name:PLATINUM CARE INCORPORATED
Other - Org Type:Doing Business As
Authorized Official - Title/Position:VICE PRESIDENT
Authorized Official - Prefix:MR
Authorized Official - First Name:CHRISTIAN
Authorized Official - Middle Name:
Authorized Official - Last Name:JANE
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:713-552-1159
Mailing Address - Street 1:1415 NORTH LOOP W
Mailing Address - Street 2:SUITE 122
Mailing Address - City:HOUSTON
Mailing Address - State:TX
Mailing Address - Zip Code:77008-1664
Mailing Address - Country:US
Mailing Address - Phone:713-552-1159
Mailing Address - Fax:713-552-1169
Practice Address - Street 1:1415 NORTH LOOP W
Practice Address - Street 2:SUITE 122
Practice Address - City:HOUSTON
Practice Address - State:TX
Practice Address - Zip Code:77008-1664
Practice Address - Country:US
Practice Address - Phone:713-552-1159
Practice Address - Fax:713-552-1169
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2005-11-15
Last Update Date:2014-02-27
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TX009417251E00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251E00000XAgenciesHome Health
Provider Identifiers
StateIdentifier IDID TypeIssuer
457886Medicare Oscar/Certification
TX457886Medicare PIN