Organization Active NPI

Platinum Care Nevada Inc

  • In Home Supportive Care Agency
  • Las Vegas, NV
National Provider Identifier
1881032464
Registry record updated Feb 1, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
In Home Supportive Care AgencyTaxonomy code 253Z00000X
License
7476PCS-8 Issued in NV
Legal business name
PLATINUM CARE NEVADA INC
Practice address
1555 E Flamingo Rd Ste 117
Las Vegas, NV 89119-5259
Phone
(702) 476-5597
Fax
(702) 442-8797
NPI assigned
Jun 5, 2013
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Feb 1, 2021

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

Authorized official

Name
Leizel Jacobsen, PCANPI 1730789645
Title
Director
Phone
(702) 476-5597

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
In Home Supportive Care Agency 253Z00000X 7476PCS-8 NV Primary
In Home Supportive Care Agency 253Z00000X

Addresses

Primary practice location

1555 E Flamingo Rd Ste 117
Las Vegas, NV 89119-5259

Mailing address

2540 S Maryland Pkwy Ste 115
Las Vegas, NV 89109-1627
Phone (702) 702-4765

Other names 1

  • Advocate Wellness Nevada Doing business as

National Provider Directory

National Provider Directory

Locations

3355 Spring Mountain Rd
Ste 236
Las Vegas, NV 89102
Phone (702) 907-1044

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1370390400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1612137600000",
    "number": "1881032464",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2540 S MARYLAND PKWY STE 115",
            "city": "LAS VEGAS",
            "state": "NV",
            "postal_code": "891091627",
            "telephone_number": "702-702-4765",
            "fax_number": "702-442-8797"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1555 E FLAMINGO RD STE 117",
            "city": "LAS VEGAS",
            "state": "NV",
            "postal_code": "891195259",
            "telephone_number": "702-476-5597",
            "fax_number": "702-442-8797"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PLATINUM CARE NEVADA INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2013-06-05",
        "last_updated": "2021-02-01",
        "certification_date": "2021-02-01",
        "status": "A",
        "authorized_official_last_name": "JACOBSEN",
        "authorized_official_first_name": "LEIZEL",
        "authorized_official_title_or_position": "DIRECTOR",
        "authorized_official_telephone_number": "702-476-5597",
        "authorized_official_credential": "PCA"
    },
    "taxonomies": [
        {
            "code": "253Z00000X",
            "taxonomy_group": "",
            "desc": "In Home Supportive Care",
            "state": "NV",
            "license": "7476PCS-8",
            "primary": true
        },
        {
            "code": "253Z00000X",
            "taxonomy_group": "",
            "desc": "In Home Supportive Care",
            "state": null,
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Advocate Wellness Nevada",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "Advocate Wellness Nevada",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Las Vegas, NV

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 1, 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.