Provider Demographics
NPI:1184490229
Name:PLATINUM LIFE HOME CARE INC
Entity type:Organization
Organization Name:PLATINUM LIFE HOME CARE INC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:CEO
Authorized Official - Prefix:
Authorized Official - First Name:SARKIS
Authorized Official - Middle Name:
Authorized Official - Last Name:HOVANESYAN
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:818-422-2221
Mailing Address - Street 1:22024 LASSEN ST STE 116
Mailing Address - Street 2:
Mailing Address - City:CHATSWORTH
Mailing Address - State:CA
Mailing Address - Zip Code:91311-8327
Mailing Address - Country:US
Mailing Address - Phone:818-292-5680
Mailing Address - Fax:747-295-9818
Practice Address - Street 1:22024 LASSEN ST STE 116
Practice Address - Street 2:
Practice Address - City:CHATSWORTH
Practice Address - State:CA
Practice Address - Zip Code:91311-8327
Practice Address - Country:US
Practice Address - Phone:818-292-5680
Practice Address - Fax:747-295-9818
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2023-11-29
Last Update Date:2023-11-29
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251E00000XAgenciesHome Health