Provider Demographics
NPI:1336275528
Name:PLATINUM CARE HOME HEALTH, INC.
Entity Type:Organization
Organization Name:PLATINUM CARE HOME HEALTH, INC.
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:DIRECTOR OF PATIENT CARE SERVICES
Authorized Official - Prefix:MRS
Authorized Official - First Name:IRINA
Authorized Official - Middle Name:
Authorized Official - Last Name:NOVGORODOVA
Authorized Official - Suffix:
Authorized Official - Credentials:RN
Authorized Official - Phone:323-630-2009
Mailing Address - Street 1:18344 OXNARD ST
Mailing Address - Street 2:SUITE # 208
Mailing Address - City:TARZANA
Mailing Address - State:CA
Mailing Address - Zip Code:91356-1554
Mailing Address - Country:US
Mailing Address - Phone:323-630-2009
Mailing Address - Fax:
Practice Address - Street 1:18344 OXNARD ST
Practice Address - Street 2:SUITE # 208
Practice Address - City:TARZANA
Practice Address - State:CA
Practice Address - Zip Code:91356-1554
Practice Address - Country:US
Practice Address - Phone:323-630-2009
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2007-02-24
Last Update Date:2009-07-01
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251E00000XAgenciesHome Health