NPIMap

Organization Active NPI

Platinum Health Care Services, Inc

  • Home Health Agency
  • Encino, CA
National Provider Identifier
1194330563
Registry record updated Sep 8, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Home Health AgencyTaxonomy code 251E00000X
Legal business name
PLATINUM HEALTH CARE SERVICES, INC
Practice address
15720 Ventura Blvd Ste 509
Encino, CA 91436-4717
Phone
(818) 572-1480
Fax
(818) 572-1385
NPI assigned
Sep 12, 2020
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Sep 8, 2021

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

Authorized official

Name
Daron Simounian
Title
Ceo
Phone
(818) 572-1480

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Home Health Agency 251E00000X Primary

Addresses

Primary practice location

15720 Ventura Blvd Ste 509
Encino, CA 91436-4717

Mailing address

15720 Ventura Blvd Ste 509
Encino, CA 91436-4717
Phone (818) 572-1480

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20220429000767 CA Part A Provider - Home Health Agency 0749677342 Practice locations: North Hollywood, CA

Home health agency certification: CCN 757013

Legal name
PLATINUM HEALTH CARE SERVICES, INC
Certification status
Active
Provider type (POS)
Home health agency
Participating since
Sep 11, 2022
Last certification
Sep 11, 2022
Organization structure
CorporationProprietary
Incorporated
Sep 2, 2020 in CA
Enrollment address
8001 Laurel Canyon Blvd
Ste 103
North Hollywood, CA 91605-1456
HHA Branch

Care Compare: Home health agency

Medicare Care Compare
Listed as
Platinum Health Care Services, Inc.CCN 757013
Overall star rating
3.5 of 5
Ownership
-
Certified
Sep 11, 2022
Medicare certification status
ActiveFrom the Provider of Services file

National Provider Directory

National Provider Directory

Locations

15720 Ventura Blvd
Ste 509
Encino, CA 91436
Phone (818) 572-1480

8001 Laurel Canyon Blvd
Ste 103
North Hollywood, CA 91605
Phone (818) 572-1480

4942 Vineland Ave
Ste 22
North Hollywood, CA 91601

Ownership & related parties

All disclosed owners & managing parties 1

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

NameRoleSinceShare
Daron Simounian Individual 5% Or Greater Direct Ownership InterestCeo Sep 3, 2021 100%
Corporate OfficerCeo Sep 3, 2021 100%
Corporate DirectorCeo Sep 3, 2021 100%
W-2 Managing EmployeeCeo Sep 3, 2021 100%

Practitioners & affiliated clinicians

Affiliated clinicians 14

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

View all 14

NPI Registry JSON

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

{
    "created_epoch": "1599868800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1631059200000",
    "number": "1194330563",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "15720 VENTURA BLVD STE 509",
            "city": "ENCINO",
            "state": "CA",
            "postal_code": "914364717",
            "telephone_number": "818-572-1480",
            "fax_number": "818-572-1385"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "15720 VENTURA BLVD STE 509",
            "city": "ENCINO",
            "state": "CA",
            "postal_code": "914364717",
            "telephone_number": "818-572-1480",
            "fax_number": "818-572-1385"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PLATINUM HEALTH CARE SERVICES, INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2020-09-12",
        "last_updated": "2021-09-08",
        "certification_date": "2021-09-08",
        "status": "A",
        "authorized_official_last_name": "SIMOUNIAN",
        "authorized_official_first_name": "DARON",
        "authorized_official_title_or_position": "CEO",
        "authorized_official_telephone_number": "818-572-1480"
    },
    "taxonomies": [
        {
            "code": "251E00000X",
            "taxonomy_group": "",
            "desc": "Home Health",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Encino, CA

Sources for this page

Verify at the official NPI Registry.