Platinum Wellness Home Health Inc

Primary specialty

Home Health AgencyTaxonomy code 251E00000X

Legal business name

PLATINUM WELLNESS HOME HEALTH INC

Practice address

7590 N Glenoaks Blvd Ste 18
Burbank, CA 91504-1003

Phone

(424) 284-2218

Fax

(424) 389-7208

NPI assigned

Aug 17, 2021

Organization subpart

No

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

Authorized official

Name

Evgenia Aydinyan

Title

Ceo

Phone

(424) 284-2218

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in CA

Enrollment records 1

Home health agency certification: CCN 757294

Legal name

PLATINUM WELLNESS HOME HEALTH INC

Certification status

Active

Provider type (POS)

Home health agency

Participating since

May 16, 2023

Last certification

May 16, 2023

Organization structure

CorporationProprietary

Enrollment address

5121 Van Nuys Blvd
Ste 222
Sherman Oaks, CA 91403-6123
HHA Branch

Listed as

Platinum Wellness Home Health IncCCN 757294

Overall star rating

4.5 of 5

Ownership

-

Certified

May 16, 2023

Medicare certification status

ActiveFrom the Provider of Services file

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.

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

{
    "created_epoch": "1629158400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1629158400000",
    "number": "1275209652",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "7590 N GLENOAKS BLVD STE 18",
            "city": "BURBANK",
            "state": "CA",
            "postal_code": "915041003"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "7590 N GLENOAKS BLVD STE 18",
            "city": "BURBANK",
            "state": "CA",
            "postal_code": "915041003",
            "telephone_number": "424-284-2218",
            "fax_number": "424-389-7208"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PLATINUM WELLNESS HOME HEALTH INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2021-08-17",
        "last_updated": "2021-08-17",
        "certification_date": "2021-08-17",
        "status": "A",
        "authorized_official_last_name": "AYDINYAN",
        "authorized_official_first_name": "EVGENIA",
        "authorized_official_title_or_position": "CEO",
        "authorized_official_telephone_number": "424-284-2218"
    },
    "taxonomies": [
        {
            "code": "251E00000X",
            "taxonomy_group": "",
            "desc": "Home Health",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• Home Health Agency in Burbank, CA
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• Home Health Agency in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 17, 2021; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; facility enrollments, owners and changes of ownership; Provider of Services certification data.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.