Platinum Healthcare Services LLC

Primary specialty

Home Health AgencyTaxonomy code 251E00000X

License

1011791 Issued in IL

Legal business name

PLATINUM HEALTHCARE SERVICES LLC

Practice address

1420 Renaissance Dr Ste 207
Park Ridge, IL 60068-1342

Phone

(224) 251-7930

Fax

(847) 423-2968

NPI assigned

Dec 8, 2009

Organization subpart

No

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

Authorized official

Name

Christine G. Jacildo

Title

President

Phone

(224) 251-7930

Specialties & licenses 1

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Enrolled in IL

Enrollment records 1

Home health agency certification: CCN 148269

Legal name

PLATINUM HEALTHCARE SERVICES, LLC

Doing business as

PLATINUM HEALTHCARE SERVICES

Certification status

Active

Provider type (POS)

Home health agency

Participating since

Jul 28, 2011

Last certification

Mar 5, 2020

Ownership / control type

Proprietary

Organization structure

LLCProprietary

Incorporated

Sep 19, 2008 in IL

Enrollment address

1420 Renaissance Dr
Ste 207
Park Ridge, IL 60068-1342
HHA Branch

Listed as

Platinum Healthcare ServicesCCN 148269

Ownership

Proprietary

Certified

Jul 28, 2011

Medicare certification status

ActiveFrom the Provider of Services file

Services

Nursing, Medical social, Home health aide, Physical therapy, Speech pathology, Occupational therapy

Locations

All disclosed owners & managing parties 2

As disclosed on the Medicare enrollment (CMS All Owners files). Individuals include officers, directors and managing employees, who may not hold ownership.

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

{
    "created_epoch": "1260230400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1711411200000",
    "number": "1801125539",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1420 RENAISSANCE DR STE 207",
            "city": "PARK RIDGE",
            "state": "IL",
            "postal_code": "600681342",
            "telephone_number": "224-251-7930",
            "fax_number": "847-423-2968"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1420 RENAISSANCE DR STE 207",
            "city": "PARK RIDGE",
            "state": "IL",
            "postal_code": "600681342",
            "telephone_number": "224-251-7930",
            "fax_number": "847-423-2968"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PLATINUM HEALTHCARE SERVICES LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2009-12-08",
        "last_updated": "2024-03-26",
        "certification_date": "2024-03-26",
        "status": "A",
        "authorized_official_last_name": "JACILDO",
        "authorized_official_first_name": "CHRISTINE",
        "authorized_official_middle_name": "G.",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "224-251-7930"
    },
    "taxonomies": [
        {
            "code": "251E00000X",
            "taxonomy_group": "",
            "desc": "Home Health",
            "state": "IL",
            "license": "1011791",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "IDPH",
            "identifier": "1011791",
            "state": "IL"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Anna Piotrowski, M.D.
• Patrick McGovern Piper, M.D.
• Jenessa Lucia Piscopo, APN
• Myriah Pitt
• Carolyn E Schaefer Placko, LCSW
• Garrett Russell Pluhar-Schaeffer, LCSW
• PMRC Services, LLC
• Podiatric Management Systems LLC
• Jeffrey John Podnar, MD
• Nancy Sue Poeling, APN, CNS

• Home Health Agency in Park Ridge, IL
• Providers in Park Ridge, IL by specialty
• Home Health Agency in Illinois

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 26, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; facility enrollments, owners and changes of ownership; Provider of Services certification data.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.