KM Platinum Health LLC

Primary specialty

Foster Care AgencyTaxonomy code 253J00000X

Legal business name

KM PLATINUM HEALTH LLC

Practice address

3436 Avenue O
Riviera Beach, FL 33404-2928

Phone

(561) 530-4287

NPI assigned

Mar 5, 2024

Organization subpart

No

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

Authorized official

Name

Kimberly Andrea Matthews, REGISTERED NURSE

Title

Executive Director

Phone

(305) 801-8616

Specialties & licenses 1

Addresses

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

{
    "created_epoch": "1709596800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1709596800000",
    "number": "1215794250",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "15533 SW 107TH CT",
            "city": "MIAMI",
            "state": "FL",
            "postal_code": "331571349",
            "telephone_number": "305-801-6516"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3436 AVENUE O",
            "city": "RIVIERA BEACH",
            "state": "FL",
            "postal_code": "334042928",
            "telephone_number": "561-530-4287"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "KM PLATINUM HEALTH LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2024-03-05",
        "last_updated": "2024-03-05",
        "certification_date": "2024-03-05",
        "status": "A",
        "authorized_official_last_name": "MATTHEWS",
        "authorized_official_first_name": "KIMBERLY",
        "authorized_official_middle_name": "ANDREA",
        "authorized_official_title_or_position": "EXECUTIVE DIRECTOR",
        "authorized_official_telephone_number": "305-801-8616",
        "authorized_official_credential": "REGISTERED NURSE"
    },
    "taxonomies": [
        {
            "code": "253J00000X",
            "taxonomy_group": "",
            "desc": "Foster Care Agency",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• Foster Care Agency in Riviera Beach, FL
• Providers in Riviera Beach, FL by specialty
• Foster Care Agency in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 5, 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.