Provider Demographics
NPI:1700319696
Name:PLATINUM HOMECARE SOLUTIONS LLC
Entity Type:Organization
Organization Name:PLATINUM HOMECARE SOLUTIONS LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:CEO
Authorized Official - Prefix:MS
Authorized Official - First Name:JOAN
Authorized Official - Middle Name:
Authorized Official - Last Name:DAVID
Authorized Official - Suffix:
Authorized Official - Credentials:RN, BSN
Authorized Official - Phone:917-678-2420
Mailing Address - Street 1:20 MAPLE ST
Mailing Address - Street 2:2ND FLOOR
Mailing Address - City:SPRINGFIELD
Mailing Address - State:MA
Mailing Address - Zip Code:01103-1930
Mailing Address - Country:US
Mailing Address - Phone:917-678-2420
Mailing Address - Fax:718-468-1295
Practice Address - Street 1:20 MAPLE ST
Practice Address - Street 2:2ND FLOOR
Practice Address - City:SPRINGFIELD
Practice Address - State:MA
Practice Address - Zip Code:01103-1930
Practice Address - Country:US
Practice Address - Phone:917-678-2420
Practice Address - Fax:718-468-1295
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2017-04-06
Last Update Date:2022-07-21
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MA253Z00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes253Z00000XAgenciesIn Home Supportive Care