Organization Active NPI

Platinum Care Group Inc.

  • In Home Supportive Care Agency
  • Carol Stream, IL
National Provider Identifier
1942857339
Registry record updated Aug 21, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
In Home Supportive Care AgencyTaxonomy code 253Z00000X
Legal business name
PLATINUM CARE GROUP INC.
Practice address
23W574 North Ave
Carol Stream, IL 60188-2165
Phone
(630) 295-9420
NPI assigned
Aug 21, 2019
Last updated
Aug 21, 2019By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 21, 2019

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

Authorized official

Name
Mr. Marquita Carlos, RN
Title
Administrator
Phone
(630) 295-9420

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
In Home Supportive Care Agency 253Z00000X NU Primary

Addresses

Primary practice location

23W574 North Ave
Carol Stream, IL 60188-2165

Mailing address

23W574 North Ave
Carol Stream, IL 60188-2165
Phone (630) 295-9420

National Provider Directory

National Provider Directory

NPI Registry JSON

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

{
    "created_epoch": "1566345600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1566345600000",
    "number": "1942857339",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "23W574 NORTH AVE",
            "city": "CAROL STREAM",
            "state": "IL",
            "postal_code": "601882165",
            "telephone_number": "630-295-9420"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "23W574 NORTH AVE",
            "city": "CAROL STREAM",
            "state": "IL",
            "postal_code": "601882165",
            "telephone_number": "630-295-9420"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PLATINUM CARE GROUP INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2019-08-21",
        "last_updated": "2019-08-21",
        "status": "A",
        "authorized_official_last_name": "CARLOS",
        "authorized_official_first_name": "MARQUITA",
        "authorized_official_title_or_position": "ADMINISTRATOR",
        "authorized_official_telephone_number": "630-295-9420",
        "authorized_official_name_prefix": "Mr.",
        "authorized_official_credential": "RN"
    },
    "taxonomies": [
        {
            "code": "253Z00000X",
            "taxonomy_group": "",
            "desc": "In Home Supportive Care",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Carol Stream, IL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 21, 2019; 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.