Organization Active NPI

Platinum Health Service

  • Home Health Agency
  • Mesquite, TX
National Provider Identifier
1679689012
Registry record updated Jul 21, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Home Health AgencyTaxonomy code 251E00000X
License
008174 Issued in TX
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

Updated by the provider on Jul 21, 2021

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)CodeLicenseStatePrimary
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

IdentifierTypeStateIssuer
1786238MedicaidTX

National Provider Directory

National Provider Directory

Locations

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

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.

Verify at the official NPI Registry.