Platinum Home & Community Mobility

Primary specialty

Oxygen Equipment & Supplies (DME)Taxonomy code 332BX2000X

Legal business name

PLATINUM HOME & COMMUNITY MOBILITY

Practice address

474270 E State Road 200
Fernandina Beach, FL 32034-0805

Phone

(904) 261-2111

Fax

(904) 261-1164

NPI assigned

Apr 18, 2024

Organization subpart

No

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

Authorized official

Name

Mr. Marc Anthony Vasil, MPT

Title

President

Phone

(440) 229-5822

Specialties & licenses 1

Addresses

Locations

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

{
    "created_epoch": "1713398400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1723420800000",
    "number": "1497500011",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "15400 PEARL RD STE 207",
            "city": "STRONGSVILLE",
            "state": "OH",
            "postal_code": "441366051",
            "telephone_number": "440-229-5822",
            "fax_number": "440-448-4902"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "474270 E STATE ROAD 200",
            "city": "FERNANDINA BEACH",
            "state": "FL",
            "postal_code": "320340805",
            "telephone_number": "904-261-2111",
            "fax_number": "904-261-1164"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PLATINUM HOME & COMMUNITY MOBILITY",
        "organizational_subpart": "NO",
        "enumeration_date": "2024-04-18",
        "last_updated": "2024-08-12",
        "certification_date": "2024-08-12",
        "status": "A",
        "authorized_official_last_name": "VASIL",
        "authorized_official_first_name": "MARC",
        "authorized_official_middle_name": "ANTHONY",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "440-229-5822",
        "authorized_official_name_prefix": "Mr.",
        "authorized_official_credential": "MPT"
    },
    "taxonomies": [
        {
            "code": "332BX2000X",
            "taxonomy_group": "",
            "desc": "Durable Medical Equipment & Medical Supplies, Oxygen Equipment & Supplies",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Amelia Phillips, ARNP
• Harvey Gene Phillips Jr., MD
• Physicians Group Services PA
• Heather Stone Pinckney, LMHC
• Pinckstone Counseling LLC
• Platinum Home & Community Mobility Corp.
• Julia Poch, CF, SLP
• Amy DH Pope, ATC
• Paula Porterfield-Izzo, LMHC
• Precision Chiropractic Inc

• Oxygen Equipment & Supplies (DME) in Fernandina Beach, FL
• Providers in Fernandina Beach, FL by specialty
• Oxygen Equipment & Supplies (DME) in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 12, 2024; 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.