Organization Active NPI

Platinum Home Care Inc

  • Home Health Agency
  • Detroit, MI
National Provider Identifier
1396735304
Registry record updated Dec 6, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
Home Health AgencyTaxonomy code 251E00000X
Legal business name
PLATINUM HOME CARE INC
Practice address
2900 S Fort St
Detroit, MI 48217-1061
Phone
(313) 388-0510
Fax
(313) 388-0593
NPI assigned
Oct 21, 2005
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Dec 6, 2007

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

Authorized official

Name
Dr. Muhammad Sadiq
Title
Administrator
Phone
(313) 388-0510

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Home Health Agency 251E00000X MI Primary

Addresses

Primary practice location

2900 S Fort St
Detroit, MI 48217-1061

Mailing address

7140 W Fort St
Detroit, MI 48209-2917
Phone (313) 388-0510

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20041112000944 MI Part A Provider - Home Health Agency 2860456597 Practice locations: Detroit, MI

Home health agency certification: CCN 237580

Legal name
PLATINUM HOME CARE INC
Certification status
Active
Provider type (POS)
Home health agency
Participating since
Sep 14, 2005
Last certification
Sep 14, 2005
Ownership / control type
Proprietary
Organization structure
CorporationProprietary
Incorporated
Nov 13, 2004 in MI
Enrollment address
7140 W Fort St
Detroit, MI 48209-2917

Care Compare: Home health agency

Medicare Care Compare
Listed as
Platinum Home Care, IncCCN 237580
Overall star rating
3.5 of 5
Ownership
Proprietary
Certified
Sep 14, 2005
Medicare certification status
ActiveFrom the Provider of Services file
Services
Nursing, Medical social, Home health aide, Physical therapy, Speech pathology, Occupational therapy

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
23D1057923Platinum Home Care Inc7140 W Fort Street Suite 3, Detroit, MI 48209Certificate of waiverAug 23, 2026

National Provider Directory

National Provider Directory

Locations

2900 S Fort St
Detroit, MI 48217
Phone (313) 388-0510

2900 S Fort St
Unit 5
Detroit, MI 48217
Phone (313) 388-0510

Ownership & related parties

All disclosed owners & managing parties 2

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

NameRoleSinceShare
Muhammad Sadiq Individual 5% Or Greater Direct Ownership Interest Oct 7, 2004 100%
Corporate Director Dec 9, 2004
W-2 Managing Employee Oct 7, 2004
Akhtar a Azhar Individual OtherBoard Member Jan 1, 2005

NPI Registry JSON

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

{
    "created_epoch": "1129852800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1196899200000",
    "number": "1396735304",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "7140 W FORT ST",
            "city": "DETROIT",
            "state": "MI",
            "postal_code": "482092917",
            "telephone_number": "313-388-0510",
            "fax_number": "313-388-0593"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2900 S FORT ST",
            "city": "DETROIT",
            "state": "MI",
            "postal_code": "482171061",
            "telephone_number": "313-388-0510",
            "fax_number": "313-388-0593"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PLATINUM HOME CARE INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2005-10-21",
        "last_updated": "2007-12-06",
        "status": "A",
        "authorized_official_last_name": "SADIQ",
        "authorized_official_first_name": "MUHAMMAD",
        "authorized_official_title_or_position": "ADMINISTRATOR",
        "authorized_official_telephone_number": "313-388-0510",
        "authorized_official_name_prefix": "Dr."
    },
    "taxonomies": [
        {
            "code": "251E00000X",
            "taxonomy_group": "",
            "desc": "Home Health",
            "state": "MI",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Detroit, MI

Sources for this page

Verify at the official NPI Registry.