Platinum Home Management LLC

Primary specialty

ContractorTaxonomy code 171W00000X

Legal business name

PLATINUM HOME MANAGEMENT LLC

Practice address

416 Lake Dr
Medford, NY 11763-4607

Phone

(631) 603-1350

NPI assigned

Oct 3, 2022

Organization subpart

No

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

Authorized official

Name

Edwin Dean

Title

Ceo

Phone

(631) 603-1350

Specialties & licenses 1

Addresses

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

{
    "created_epoch": "1664755200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1664928000000",
    "number": "1609590785",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "416 LAKE DR",
            "city": "MEDFORD",
            "state": "NY",
            "postal_code": "117634607",
            "telephone_number": "631-603-1350"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "416 LAKE DR",
            "city": "MEDFORD",
            "state": "NY",
            "postal_code": "117634607",
            "telephone_number": "631-603-1350"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PLATINUM HOME MANAGEMENT LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2022-10-03",
        "last_updated": "2022-10-05",
        "certification_date": "2022-10-05",
        "status": "A",
        "authorized_official_last_name": "DEAN",
        "authorized_official_first_name": "EDWIN",
        "authorized_official_title_or_position": "CEO",
        "authorized_official_telephone_number": "631-603-1350"
    },
    "taxonomies": [
        {
            "code": "171W00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Contractor",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• Contractor in Medford, NY
• Providers in Medford, NY by specialty
• Contractor in New York

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 5, 2022; 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.