Organization Active NPI

Platinum Home Health Care

  • Home Health Agency
  • Traverse City, MI
National Provider Identifier
1962230201
Registry record updated Jul 25, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Home Health AgencyTaxonomy code 251E00000X
Legal business name
PLATINUM HOME HEALTH CARE
Practice address
3639 Cass Rd Ste 7
Traverse City, MI 49684-9153
Phone
(631) 603-1350
NPI assigned
Jul 25, 2024
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jul 25, 2024

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

Authorized official

Name
Edwin Dean
Title
Owner
Phone
(631) 603-1350

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Home Health Agency 251E00000X Primary

Addresses

Primary practice location

3639 Cass Rd Ste 7
Traverse City, MI 49684-9153

Mailing address

3639 Cass Rd Ste 7
Traverse City, MI 49684-9153
Phone (631) 603-1350

Other names 1

  • Atticus Black Doing business as

National Provider Directory

National Provider Directory

Locations

3639 Cass Rd
Ste 7
Traverse City, MI 49684
Phone (631) 603-1350

NPI Registry JSON

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

{
    "created_epoch": "1721865600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1721865600000",
    "number": "1962230201",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3639 CASS RD STE 7",
            "city": "TRAVERSE CITY",
            "state": "MI",
            "postal_code": "496849153",
            "telephone_number": "631-603-1350"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3639 CASS RD STE 7",
            "city": "TRAVERSE CITY",
            "state": "MI",
            "postal_code": "496849153",
            "telephone_number": "631-603-1350"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PLATINUM HOME HEALTH CARE",
        "organizational_subpart": "NO",
        "enumeration_date": "2024-07-25",
        "last_updated": "2024-07-25",
        "certification_date": "2024-07-25",
        "status": "A",
        "authorized_official_last_name": "DEAN",
        "authorized_official_first_name": "EDWIN",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "631-603-1350"
    },
    "taxonomies": [
        {
            "code": "251E00000X",
            "taxonomy_group": "",
            "desc": "Home Health",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Atticus Black",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Traverse City, MI

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 25, 2024; 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.