Platinum Venture Group LLC

Primary specialty

Durable Medical Equipment & Medical SuppliesTaxonomy code 332B00000X

Legal business name

PLATINUM VENTURE GROUP LLC

Practice address

8522 S 1300 E Ste 103
Sandy, UT 84094-1391

Phone

(801) 214-9918

Fax

(385) 533-5007

NPI assigned

Jun 19, 2015

Organization subpart

No

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

Authorized official

Name

Valreen Willna John

Title

Owner

Phone

(801) 214-9918

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in UT

Enrollment records 1

These CMS records do not include an NPI. They are shown because their name and street address match this provider’s.

Medicare medical equipment & supply locations

Locations

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

{
    "created_epoch": "1434672000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1689638400000",
    "number": "1447632013",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "8522 S 1300 E STE 103",
            "city": "SANDY",
            "state": "UT",
            "postal_code": "840941391",
            "telephone_number": "801-214-9918",
            "fax_number": "385-533-5007"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "8522 S 1300 E STE 103",
            "city": "SANDY",
            "state": "UT",
            "postal_code": "840941391",
            "telephone_number": "801-214-9918",
            "fax_number": "385-533-5007"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PLATINUM VENTURE GROUP LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2015-06-19",
        "last_updated": "2023-07-18",
        "certification_date": "2023-07-18",
        "status": "A",
        "authorized_official_last_name": "JOHN",
        "authorized_official_first_name": "VALREEN",
        "authorized_official_middle_name": "WILLNA",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "801-214-9918"
    },
    "taxonomies": [
        {
            "code": "332B00000X",
            "taxonomy_group": "",
            "desc": "Durable Medical Equipment & Medical Supplies",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Kelli Pierce, LCMHC
• Pinnacle Recovery Iop
• Natalia Alexandrovna Piper, M.D.
• Trinity Ann Pitt
• PL Hansen Counseling Inc
• Jessica J Pochmara, RD
• Danny Poleki
• Tusi Poleki
• Ashley Marie Polidori, LCSW
• Roberta Polkinghorn, MA, CMHC, LPC, CPC,

• Durable Medical Equipment & Medical Supplies in Sandy, UT
• Providers in Sandy, UT by specialty
• Durable Medical Equipment & Medical Supplies in Utah

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 18, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• 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.