Platinum Resort 103 LLC

Primary specialty

Assisted Living FacilityTaxonomy code 310400000X

Legal business name

PLATINUM RESORT 103 LLC

Practice address

208 Mesa Dr
Georgetown, TX 78628-1507

Phone

(512) 580-8037

NPI assigned

Feb 14, 2025

Last updated

Feb 14, 2025By the provider in NPPES

Organization subpart

Yes

Parent organization

PLATINUM RESORT MANAGEMENT LLCAs reported in NPPES

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

Authorized official

Name

Laura Chotkevys

Title

Coo

Phone

(562) 773-6074

Specialties & licenses 1

Addresses

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

{
    "created_epoch": "1739491200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1739491200000",
    "number": "1437954377",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "7723 SQUIRREL HOLLOW DR",
            "city": "GEORGETOWN",
            "state": "TX",
            "postal_code": "786283707"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "208 MESA DR",
            "city": "GEORGETOWN",
            "state": "TX",
            "postal_code": "786281507",
            "telephone_number": "512-580-8037"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PLATINUM RESORT 103 LLC",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "PLATINUM RESORT MANAGEMENT LLC",
        "enumeration_date": "2025-02-14",
        "last_updated": "2025-02-14",
        "certification_date": "2025-02-14",
        "status": "A",
        "authorized_official_last_name": "CHOTKEVYS",
        "authorized_official_first_name": "LAURA",
        "authorized_official_title_or_position": "COO",
        "authorized_official_telephone_number": "562-773-6074"
    },
    "taxonomies": [
        {
            "code": "310400000X",
            "taxonomy_group": "",
            "desc": "Assisted Living Facility",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Mikayla Pillar, MS OF OT
• Claudia Pineda Osorio
• Rosemary W Pinkard, FNP-C
• Martha Lane Pinto, M.ED.
• Marilyn S Piper, LPC
• PM Management-Georgetown Al LLC (Park Place Assisted Living)
• PM Management-Georgetown NC LLC (Park Place Care Center)
• Teresa M Poindexter, PHYSICAL THERAPIST
• Shanni Ponce, P.T.
• Matthew Scott Poole, PA-C

• Assisted Living Facility in Georgetown, TX
• Providers in Georgetown, TX by specialty
• Assisted Living Facility in Texas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 14, 2025; 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.