Active NPI
Platinum Plus Care
- Assisted Living Facility
- Indianola, MS
National Provider Identifier
1285179887
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Assisted Living Facility
- License
- 205593
- Legal business name
- PLATINUM PLUS CARE
- Practice address
- 617 Highway 82 W
Indianola, MS 38751-2056 - Phone
- (662) 445-2600
- NPI assigned
- Jan 5, 2017
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Miss Maple Lean Campbell
- Title
- Ceo
- Phone
- (662) 445-2600
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Assisted Living Facility | 310400000X | 205593 | MS | Primary |
Addresses
Primary practice location
617 Highway 82 W
Indianola, MS 38751-2056
Mailing address
PO Box 649
617 Higway 82 West
Indianola, MS 38751-0649
Phone (662) 445-2600
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in MS
Enrollment records 1
National Provider Directory
National Provider DirectoryPractitioners & affiliated clinicians
Practitioners 1
Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1483574400000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1495497600000",
"number": "1285179887",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX 649",
"address_2": "617 HIGWAY 82 WEST",
"city": "INDIANOLA",
"state": "MS",
"postal_code": "387510649",
"telephone_number": "662-445-2600"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "617 HIGHWAY 82 W",
"city": "INDIANOLA",
"state": "MS",
"postal_code": "387512056",
"telephone_number": "662-445-2600"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "PLATINUM PLUS CARE",
"organizational_subpart": "NO",
"enumeration_date": "2017-01-05",
"last_updated": "2017-05-23",
"status": "A",
"authorized_official_last_name": "CAMPBELL",
"authorized_official_first_name": "MAPLE",
"authorized_official_middle_name": "LEAN",
"authorized_official_title_or_position": "CEO",
"authorized_official_telephone_number": "662-445-2600",
"authorized_official_name_prefix": "Miss"
},
"taxonomies": [
{
"code": "310400000X",
"taxonomy_group": "",
"desc": "Assisted Living Facility",
"state": "MS",
"license": "205593",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Indianola, MS
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 23, 2017; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.