NPIMap

Organization Active NPI

Platinum Home Care, Inc.

  • In Home Supportive Care Agency
  • Phoenix, AZ
National Provider Identifier
1982909255
Registry record updated Jan 18, 2011
On this page

Key facts

NPPES NPI Registry
Primary specialty
In Home Supportive Care AgencyTaxonomy code 253Z00000X
License
564441 Issued in AZ
Legal business name
PLATINUM HOME CARE, INC.
Practice address
2811 E Rockwood Dr
Phoenix, AZ 85050-3445
Phone
(602) 486-3313
Fax
(888) 400-9272
NPI assigned
Jan 18, 2011
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jan 18, 2011

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

Authorized official

Name
Svetlana Suleymanov
Title
President
Phone
(602) 486-3313

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
In Home Supportive Care Agency 253Z00000X 564441 AZ Primary

Addresses

Primary practice location

2811 E Rockwood Dr
Phoenix, AZ 85050-3445

Mailing address

2811 E Rockwood Dr
Phoenix, AZ 85050-3445
Phone (602) 486-3313

Other identifiers 1

IdentifierTypeStateIssuer
564441MedicaidAZ

National Provider Directory

National Provider Directory

NPI Registry JSON

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

{
    "created_epoch": "1295308800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1295308800000",
    "number": "1982909255",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2811 E ROCKWOOD DR",
            "city": "PHOENIX",
            "state": "AZ",
            "postal_code": "850503445",
            "telephone_number": "602-486-3313",
            "fax_number": "888-400-9272"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2811 E ROCKWOOD DR",
            "city": "PHOENIX",
            "state": "AZ",
            "postal_code": "850503445",
            "telephone_number": "602-486-3313",
            "fax_number": "888-400-9272"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PLATINUM HOME CARE, INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2011-01-18",
        "last_updated": "2011-01-18",
        "status": "A",
        "authorized_official_last_name": "SULEYMANOV",
        "authorized_official_first_name": "SVETLANA",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "602-486-3313"
    },
    "taxonomies": [
        {
            "code": "253Z00000X",
            "taxonomy_group": "",
            "desc": "In Home Supportive Care",
            "state": "AZ",
            "license": "564441",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "564441",
            "state": "AZ"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Phoenix, AZ

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 18, 2011; 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.