Provider Demographics
NPI:1831224955
Name:PLATINUM HOME HEALTH CARE, LLC
Entity type:Organization
Organization Name:PLATINUM HOME HEALTH CARE, LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:ADMINISTRATOR
Authorized Official - Prefix:MR
Authorized Official - First Name:CARVIZ
Authorized Official - Middle Name:
Authorized Official - Last Name:CARLOS
Authorized Official - Suffix:
Authorized Official - Credentials:RN
Authorized Official - Phone:407-438-0606
Mailing Address - Street 1:1025 W OAK RIDGE RD
Mailing Address - Street 2:
Mailing Address - City:ORLANDO
Mailing Address - State:FL
Mailing Address - Zip Code:32809-4709
Mailing Address - Country:US
Mailing Address - Phone:407-438-0606
Mailing Address - Fax:407-438-0696
Practice Address - Street 1:1025 W OAK RIDGE RD
Practice Address - Street 2:
Practice Address - City:ORLANDO
Practice Address - State:FL
Practice Address - Zip Code:32809-4709
Practice Address - Country:US
Practice Address - Phone:407-438-0606
Practice Address - Fax:407-438-0696
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2007-02-21
Last Update Date:2020-08-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
FL251E00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251E00000XAgenciesHome Health