Organization Active NPI

Platinum Healthcare Services

  • Skilled Nursing Facility
  • Fayetteville, GA
National Provider Identifier
1063263929
Registry record updated Mar 28, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Skilled Nursing FacilityTaxonomy code 314000000X
Legal business name
PLATINUM HEALTHCARE SERVICES
Doing business as
Platinum Healthcare Services
Practice address
935 Lanier Ave W Ste 1008
Fayetteville, GA 30214-7434
Phone
(404) 902-5811
Fax
(678) 311-5519
NPI assigned
Mar 28, 2024
Last updated
Mar 28, 2024By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Mar 28, 2024

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name
Samuel I ObichiNPI 1780095406
Title
Administrator
Phone
(404) 822-4505

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Skilled Nursing Facility 314000000X Primary

Addresses

Primary practice location

935 Lanier Ave W Ste 1008
Fayetteville, GA 30214-7434

Mailing address

935 Lanier Ave W Ste 1008
Fayetteville, GA 30214-7434
Phone (404) 902-5811

Other names 1

  • Platinum Healthcare Services Doing business as

National Provider Directory

National Provider Directory

Locations

935 Lanier Ave W
Ste 1008
Fayetteville, GA 30214
Phone (404) 902-5811

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1711584000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1711584000000",
    "number": "1063263929",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "935 LANIER AVE W STE 1008",
            "city": "FAYETTEVILLE",
            "state": "GA",
            "postal_code": "302147434",
            "telephone_number": "404-902-5811",
            "fax_number": "678-311-5519"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "935 LANIER AVE W STE 1008",
            "city": "FAYETTEVILLE",
            "state": "GA",
            "postal_code": "302147434",
            "telephone_number": "404-902-5811",
            "fax_number": "678-311-5519"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PLATINUM HEALTHCARE SERVICES",
        "organizational_subpart": "NO",
        "enumeration_date": "2024-03-28",
        "last_updated": "2024-03-28",
        "certification_date": "2024-03-28",
        "status": "A",
        "authorized_official_last_name": "OBICHI",
        "authorized_official_first_name": "SAMUEL",
        "authorized_official_middle_name": "I",
        "authorized_official_title_or_position": "ADMINISTRATOR",
        "authorized_official_telephone_number": "404-822-4505"
    },
    "taxonomies": [
        {
            "code": "314000000X",
            "taxonomy_group": "",
            "desc": "Skilled Nursing Facility",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Platinum Healthcare Services",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Fayetteville, GA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 28, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.