Platinum Home Heatlh Care

Primary specialty

Health Maintenance OrganizationTaxonomy code 302R00000X

License

416454 Issued in NY

Legal business name

PLATINUM HOME HEATLH CARE

Practice address

63 Jefferson Ave.
Jeffersonville, NY 12748

Phone

(845) 482-2238

NPI assigned

Dec 12, 2013

Last updated

Dec 12, 2013By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Mrs. Kim Ann Breihof, R.N.

Title

Registered Nurse

Phone

(845) 482-2238

Specialties & licenses 1

Addresses

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

{
    "created_epoch": "1386806400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1386806400000",
    "number": "1164853321",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 136",
            "city": "JEFFERSONVILLE",
            "state": "NY",
            "postal_code": "127480136",
            "telephone_number": "845-482-2238"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "63 JEFFERSON AVE.",
            "city": "JEFFERSONVILLE",
            "state": "NY",
            "postal_code": "12748",
            "telephone_number": "845-482-2238"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PLATINUM HOME HEATLH CARE",
        "organizational_subpart": "NO",
        "enumeration_date": "2013-12-12",
        "last_updated": "2013-12-12",
        "status": "A",
        "authorized_official_last_name": "BREIHOF",
        "authorized_official_first_name": "KIM",
        "authorized_official_middle_name": "ANN",
        "authorized_official_title_or_position": "REGISTERED NURSE",
        "authorized_official_telephone_number": "845-482-2238",
        "authorized_official_name_prefix": "Mrs.",
        "authorized_official_credential": "R.N."
    },
    "taxonomies": [
        {
            "code": "302R00000X",
            "taxonomy_group": "",
            "desc": "Health Maintenance Organization",
            "state": "NY",
            "license": "416454",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• JJJ Yaut, LLC (Jeff Senior Living)
• Eileen Anne Krom, M.S. CCC-SLP
• Hunter Edward Mall, COTA
• Jodi Moran, COTA/L
• Maria Neumann, RPH
• Heather Ristics, BSN RN
• David Allen Sager, D.C.
• Maegan Rae Sauer, O.D.
• Susan Elizabeth Schadt, RN
• Patricia Ann Scott, LPN

• Health Maintenance Organization in Jeffersonville, NY
• Providers in Jeffersonville, NY by specialty
• Health Maintenance Organization in New York

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 12, 2013; 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.