Organization Active NPI

Cody and Jana Sanders, Inc.

  • Home Health Agency
  • Paris, TX
National Provider Identifier
1164568705
Registry record updated Jul 8, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
Home Health AgencyTaxonomy code 251E00000X
License
009691 Issued in TX
Legal business name
CODY AND JANA SANDERS, INC.
Practice address
140 S Collegiate Drive
Paris, TX 75460
Phone
(903) 739-8070
Fax
(903) 739-8370
NPI assigned
Jan 30, 2007
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jul 8, 2008

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

Authorized official

Name
Mrs. Jana Leigh Sanders, LVN
Title
Owner Administrator
Phone
(903) 739-8070

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Home Health Agency 251E00000X 009691 TX Primary

Addresses

Primary practice location

140 S Collegiate Drive
Paris, TX 75460

Mailing address

140 S Collegiate Dr
Paris, TX 75460-6319
Phone (903) 739-8070

Other identifiers 1

IdentifierTypeStateIssuer
180738001MedicaidTX

Other names 1

  • Platinum Home Health, Inc. Doing business as

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in TX

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20050427000108 TX Part A Provider - Home Health Agency 9436198751 Practice locations: Paris, TX

Home health agency certification: CCN 457864

Legal name
CODY AND JANA SANDERS, INC.
Doing business as
PLATINUM HOME HEATLH, INC.
Certification status
Active
Provider type (POS)
Home health agency
Participating since
Jul 19, 2005
Last certification
Apr 27, 2021
Ownership / control type
Proprietary
Organization structure
CorporationProprietary
Incorporated
Jan 13, 2005 in TX
Enrollment address
140 S Collegiate Drive
Paris, TX 75460

Care Compare: Home health agency

Medicare Care Compare
Listed as
Platinum Home Health IncCCN 457864
Overall star rating
2 of 5
Ownership
Proprietary
Certified
Jul 19, 2005
Medicare certification status
ActiveFrom the Provider of Services file
Services
Nursing, Medical social, Home health aide, Physical therapy, Speech pathology, Occupational therapy

Laboratory certificates & supplier records

Derived by NPIMap

These CMS records do not include an NPI. They are shown because their name and street address match this provider’s.

CLIA laboratory certificates

CLIA numberLaboratoryCertificateExpires
45D1037441Platinum Home Health, Inc140 South Collegiate Drive, Paris, TX 75460Certificate of waiverFeb 23, 2027

National Provider Directory

National Provider Directory

Locations

140 S Collegiate Dr
Paris, TX 75460
Phone (903) 739-8070

Ownership & related parties

All disclosed owners & managing parties 2

As disclosed on the Medicare enrollment (CMS All Owners files). Individuals include officers, directors and managing employees, who may not hold ownership.

NameRoleSinceShare
Cody Sanders Individual 5% Or Greater Direct Ownership Interest Jan 5, 2005
Jana Sanders Individual 5% Or Greater Direct Ownership Interest Jan 5, 2005
Corporate Director Oct 20, 2005
W-2 Managing Employee Jan 5, 2005

Practitioners & affiliated clinicians

Affiliated clinicians 11

Clinicians who list this facility as an affiliation in Medicare Care Compare.

NPI Registry JSON

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

{
    "created_epoch": "1170115200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1215475200000",
    "number": "1164568705",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "140 S COLLEGIATE DR",
            "city": "PARIS",
            "state": "TX",
            "postal_code": "754606319",
            "telephone_number": "903-739-8070",
            "fax_number": "903-739-8370"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "140 S COLLEGIATE DRIVE",
            "city": "PARIS",
            "state": "TX",
            "postal_code": "75460",
            "telephone_number": "903-739-8070",
            "fax_number": "903-739-8370"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CODY AND JANA SANDERS, INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-01-30",
        "last_updated": "2008-07-08",
        "status": "A",
        "authorized_official_last_name": "SANDERS",
        "authorized_official_first_name": "JANA",
        "authorized_official_middle_name": "LEIGH",
        "authorized_official_title_or_position": "OWNER ADMINISTRATOR",
        "authorized_official_telephone_number": "903-739-8070",
        "authorized_official_name_prefix": "Mrs.",
        "authorized_official_credential": "LVN"
    },
    "taxonomies": [
        {
            "code": "251E00000X",
            "taxonomy_group": "",
            "desc": "Home Health",
            "state": "TX",
            "license": "009691",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "180738001",
            "state": "TX"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Platinum Home Health, Inc.",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Paris, TX

Sources for this page

Verify at the official NPI Registry.