Organization Active NPI

Platinum Care Homes LLC

  • Adult Care Home Facility
  • Wichita, KS
National Provider Identifier
1104543339
Registry record updated Oct 27, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Adult Care Home FacilityTaxonomy code 311ZA0620X
Legal business name
PLATINUM CARE HOMES LLC
Doing business as
Platinum Care Homes LLC
Practice address
5701 E 17TH St N
Wichita, KS 67208-1703
Phone
(316) 807-6761
Fax
(316) 239-7821
NPI assigned
Oct 27, 2022
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Oct 27, 2022

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

Authorized official

Name
Paula Denise Mack, OWNER
Title
Operator
Phone
(316) 807-6761

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Adult Care Home Facility 311ZA0620X Primary

Addresses

Primary practice location

5701 E 17TH St N
Wichita, KS 67208-1703

Mailing address

5701 E 17TH St N
Wichita, KS 67208-1703
Phone (316) 807-6761

Other names 1

  • Platinum Care Homes LLC Doing business as

National Provider Directory

National Provider Directory

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1666828800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1666828800000",
    "number": "1104543339",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5701 E 17TH ST N",
            "city": "WICHITA",
            "state": "KS",
            "postal_code": "672081703",
            "telephone_number": "316-807-6761",
            "fax_number": "316-239-7821"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5701 E 17TH ST N",
            "city": "WICHITA",
            "state": "KS",
            "postal_code": "672081703",
            "telephone_number": "316-807-6761",
            "fax_number": "316-239-7821"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PLATINUM CARE HOMES LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2022-10-27",
        "last_updated": "2022-10-27",
        "certification_date": "2022-10-27",
        "status": "A",
        "authorized_official_last_name": "MACK",
        "authorized_official_first_name": "PAULA",
        "authorized_official_middle_name": "DENISE",
        "authorized_official_title_or_position": "OPERATOR",
        "authorized_official_telephone_number": "316-807-6761",
        "authorized_official_credential": "OWNER"
    },
    "taxonomies": [
        {
            "code": "311ZA0620X",
            "taxonomy_group": "",
            "desc": "Custodial Care Facility, Adult Care Home",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Platinum Care Homes LLC",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Wichita, KS

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 27, 2022; 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.