Platinum Ridge PA Management, LLC

Primary specialty

Custodial Care FacilityTaxonomy code 311Z00000X

Legal business name

PLATINUM RIDGE PA MANAGEMENT, LLC

Doing business as

Platinum Ridge Wellness and Rehabilitation Center

Practice address

1050 Broadview Blvd
Brackenridge, PA 15014-1216

Phone

(724) 224-9200

NPI assigned

Feb 12, 2018

Last updated

Feb 12, 2018By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Philip Friedman

Title

Managing Member

Phone

(516) 596-5222

Specialties & licenses 1

Addresses

Other names 1

• Platinum Ridge Wellness and Rehabilitation Center Doing business as

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

{
    "created_epoch": "1518393600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1518393600000",
    "number": "1508365990",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1981 MARCUS AVE STE C129",
            "city": "NEW HYDE PARK",
            "state": "NY",
            "postal_code": "110421017"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1050 BROADVIEW BLVD",
            "city": "BRACKENRIDGE",
            "state": "PA",
            "postal_code": "150141216",
            "telephone_number": "724-224-9200"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PLATINUM RIDGE PA MANAGEMENT, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2018-02-12",
        "last_updated": "2018-02-12",
        "status": "A",
        "authorized_official_last_name": "FRIEDMAN",
        "authorized_official_first_name": "PHILIP",
        "authorized_official_title_or_position": "MANAGING MEMBER",
        "authorized_official_telephone_number": "516-596-5222"
    },
    "taxonomies": [
        {
            "code": "311Z00000X",
            "taxonomy_group": "",
            "desc": "Custodial Care Facility",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Platinum Ridge Wellness and Rehabilitation Center",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Angie Carlson Nacey, M.A., CCC-A
• Neurology Associates of W PA
• One Life Wellness Company
• Parkway a.T.S., Inc (Parkway Ambulance)
• Taylor Pastovic, APRN
• Karessa Annemarie Presnar, CRNP
• PRRC Opco LLC
• Anthony Rogalski, R.N.
• Michael J Rytel, MD
• Laura Helen Scassera, PT

• Custodial Care Facility in Brackenridge, PA
• Providers in Brackenridge, PA by specialty
• Custodial Care Facility in Pennsylvania

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 12, 2018; 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.