Active NPI
Platinum Health Service
- Home Health Agency
- Mesquite, TX
National Provider Identifier
1679689012
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Home Health Agency
- License
- 008174
- Legal business name
- PLATINUM HEALTH SERVICE
- Practice address
- 2023 Deepwood St
Mesquite, TX 75181-1723 - Phone
- (972) 839-3529
- Fax
- (214) 221-4908
- NPI assigned
- Aug 21, 2006
- 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
- Christianah Foluke Okunade
- Title
- Administrator
- Phone
- (972) 982-0192
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Home Health Agency | 251E00000X | 008174 | TX | Primary |
Addresses
Primary practice location
2023 Deepwood St
Mesquite, TX 75181-1723
Mailing address
2023 Deepwood St
Mesquite, TX 75181-1723
Phone (972) 982-0192
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1786238 | Medicaid | TX |
National Provider Directory
National Provider DirectoryLocations
10935 Estate Ln
#S365
Dallas, TX 75238
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1156118400000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1626825600000",
"number": "1679689012",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "2023 DEEPWOOD ST",
"city": "MESQUITE",
"state": "TX",
"postal_code": "751811723",
"telephone_number": "972-982-0192",
"fax_number": "972-784-5404"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "2023 DEEPWOOD ST",
"city": "MESQUITE",
"state": "TX",
"postal_code": "751811723",
"telephone_number": "972-839-3529",
"fax_number": "214-221-4908"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "PLATINUM HEALTH SERVICE",
"organizational_subpart": "NO",
"enumeration_date": "2006-08-21",
"last_updated": "2021-07-21",
"certification_date": "2021-07-21",
"status": "A",
"authorized_official_last_name": "OKUNADE",
"authorized_official_first_name": "CHRISTIANAH",
"authorized_official_middle_name": "FOLUKE",
"authorized_official_title_or_position": "ADMINISTRATOR",
"authorized_official_telephone_number": "972-982-0192"
},
"taxonomies": [
{
"code": "251E00000X",
"taxonomy_group": "",
"desc": "Home Health",
"state": "TX",
"license": "008174",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "1786238",
"state": "TX"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Mesquite, TX
- Sylvia Ann Pierson-Ward, MED.
- Sarah Mackenzie Pike, LPC-ASSOCIATE
- Ajitha Pillai, COTA
- Gabriela Pina
- Planned Parenthood of Greater Texas Inc, - Mesquite
- Platinum Plus Health Services Inc
- Pleasant Trail Homecare LLC
- Podiatric Medical Partners of Texas, PA
- Podiatric Medical Partners of Texas, PA
- Melissa Ann Poindexter
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 21, 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.