Active NPI
Platinum Senior Care LLC
- In Home Supportive Care Agency
- La Porte, IN
National Provider Identifier
1528650561
On this page
Key facts
NPPES NPI Registry- Primary specialty
- In Home Supportive Care Agency
- Legal business name
- PLATINUM SENIOR CARE LLC
- Practice address
- 513 Pine Lake Ave
La Porte, IN 46350-2316 - Phone
- (219) 326-1082
- NPI assigned
- Feb 10, 2021
- Last updated
- Feb 10, 2021
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Paul Christopher Mead
- Title
- Ceo
- Phone
- (219) 326-1082
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| In Home Supportive Care Agency | 253Z00000X | NU | Primary |
Addresses
Primary practice location
513 Pine Lake Ave
La Porte, IN 46350-2316
Mailing address
513 Pine Lake Ave
La Porte, IN 46350-2316
Phone (219) 326-1082
National Provider Directory
National Provider DirectoryLocations
513 Pine Lake Ave
La Porte, IN 46350
Phone (219) 326-1082
Practitioners & affiliated clinicians
Practitioners 1
Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.
-
- Personal Care Attendant
- La Porte, IN
- NPI 1780126573
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1612915200000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1612915200000",
"number": "1528650561",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "513 PINE LAKE AVE",
"city": "LA PORTE",
"state": "IN",
"postal_code": "463502316",
"telephone_number": "219-326-1082"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "513 PINE LAKE AVE",
"city": "LA PORTE",
"state": "IN",
"postal_code": "463502316",
"telephone_number": "219-326-1082"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "PLATINUM SENIOR CARE LLC",
"organizational_subpart": "NO",
"enumeration_date": "2021-02-10",
"last_updated": "2021-02-10",
"certification_date": "2021-02-10",
"status": "A",
"authorized_official_last_name": "MEAD",
"authorized_official_first_name": "PAUL",
"authorized_official_middle_name": "CHRISTOPHER",
"authorized_official_title_or_position": "CEO",
"authorized_official_telephone_number": "219-326-1082"
},
"taxonomies": [
{
"code": "253Z00000X",
"taxonomy_group": "",
"desc": "In Home Supportive Care",
"state": "NU",
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in La Porte, IN
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 10, 2021; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.