NPIMap

Organization Active NPI

Platinum Palliative & Hospice Care, Inc.

  • Community Based Hospice Care Agency
  • Paris, TX
National Provider Identifier
1235429580
Registry record updated Apr 7, 2011
On this page

Key facts

NPPES NPI Registry
Primary specialty
Community Based Hospice Care AgencyTaxonomy code 251G00000X
Legal business name
PLATINUM PALLIATIVE & HOSPICE CARE, INC.
Practice address
140 S Collegiate Dr
Suite 100
Paris, TX 75460-6319
Phone
(903) 783-1818
Fax
(903) 739-8370
NPI assigned
Apr 7, 2011
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Apr 7, 2011

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

Authorized official

Name
Mrs. Jana Leigh Sanders, L.V.N.
Title
Owner/Administrator
Phone
(903) 517-9948

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Community Based Hospice Care Agency 251G00000X Primary

Addresses

Primary practice location

140 S Collegiate Dr
Suite 100
Paris, TX 75460-6319

Mailing address

140 S Collegiate Dr
Suite 100
Paris, TX 75460-6319
Phone (903) 783-1818

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20110906000629 TX Part A Provider - Hospice 9032389747 Practice locations: Paris, TX

Hospice certification: CCN 671728

Legal name
PLATINUM PALLIATIVE & HOSPICE CARE, INC.
Certification status
Active
Provider type (POS)
Hospice
Participating since
Aug 8, 2012
Last certification
Sep 17, 2021
Ownership / control type
Proprietary - Corporation
Organization structure
CorporationProprietary
Incorporated
Mar 18, 2011 in TX
Enrollment address
140 S Collegiate Drive
Suite 100
Paris, TX 75460-6319

Care Compare: Hospice

Medicare Care Compare
Listed as
Platinum Palliative & Hospice Care IncCCN 671728
Ownership
For-Profit
Certified
Aug 8, 2012
Medicare certification status
ActiveFrom the Provider of Services file

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
45D2023698Platinum Palliative & Hospice Care Inc140 S Collegiate Dr Ste 100, Paris, TX 75460Certificate of waiverApr 28, 2027

National Provider Directory

National Provider Directory

Locations

140 S Collegiate Dr
Ste 100
Paris, TX 75460
Phone (903) 783-1818

Ownership & related parties

All disclosed owners & managing parties 5

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

NameRoleSinceShare
Crystal Richardson Individual Operational/Managerial Control Jan 1, 2022
Keli Pinalto Individual Operational/Managerial Control Apr 4, 2012
Cody Sanders Individual 5% Or Greater Direct Ownership Interest Jul 7, 2011
Corporate Director Jul 7, 2011
W-2 Managing Employee Jul 7, 2011
Rachel Wood Individual Operational/Managerial Control Apr 4, 2012
Jana Sanders Individual 5% Or Greater Direct Ownership Interest Jul 7, 2011
Corporate Director Jul 7, 2011
W-2 Managing Employee Jul 7, 2011

Practitioners & affiliated clinicians

Practitioners 1

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

Affiliated clinicians 2

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": "1302134400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1302134400000",
    "number": "1235429580",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "140 S COLLEGIATE DR",
            "address_2": "SUITE 100",
            "city": "PARIS",
            "state": "TX",
            "postal_code": "754606319",
            "telephone_number": "903-783-1818",
            "fax_number": "903-739-8370"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "140 S COLLEGIATE DR",
            "address_2": "SUITE 100",
            "city": "PARIS",
            "state": "TX",
            "postal_code": "754606319",
            "telephone_number": "903-783-1818",
            "fax_number": "903-739-8370"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PLATINUM PALLIATIVE & HOSPICE CARE, INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2011-04-07",
        "last_updated": "2011-04-07",
        "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": "903-517-9948",
        "authorized_official_name_prefix": "Mrs.",
        "authorized_official_credential": "L.V.N."
    },
    "taxonomies": [
        {
            "code": "251G00000X",
            "taxonomy_group": "",
            "desc": "Hospice Care, Community Based",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Paris, TX

Sources for this page

Verify at the official NPI Registry.