1962484071 NPI number — PLATINUM HHS CARE INCORORATED

Table of Contents

General

This information contains only most important part of the NPI data, for complete information, including NPI referencing materials please refer to 1962484071 NPI number — PLATINUM HHS CARE INCORORATED

Organization/Personal Information

Employer Identification Number (EIN):
Provider Organization Name:
PLATINUM HHS CARE INCORORATED
Provider Last Name:
Provider First Name:
Provider Middle Name:
Provider Name Prefix Text:
Provider Name Suffix Text:
Provider Credential Text:
Provider Gender Code:

Provider's Other Name Information

Provider Other Organization Name:
PLATINUM CARE INCORPORATED
Provider Other Organization Name Type Code:
3
Provider Other Last Name:
Provider Other First Name:
Provider Other Middle Name:
Provider Other Name Prefix Text:
Provider Other Name Suffix Text:
Provider Other Credential Text:
Provider Other Last Name Type Code:

NPI Number Information

NPI Number:
1962484071
Entity Type Code:
Organization
Replacement NPI:
Last Update Date:
02/27/2014
NPI Deactivation Reason Code:
NPI Deactivation Date:
NPI Reactivation Date:

Provider's Business Mailing Address

Provider First Line Business Mailing Address:
1415 NORTH LOOP W
Provider Second Line Business Mailing Address:
SUITE 122
Provider Business Mailing Address City Name:
HOUSTON
Provider Business Mailing Address State Name:
TX
Provider Business Mailing Address Postal Code:
77008-1664
Provider Business Mailing Address Country Code:
US
Provider Business Mailing Address Telephone Number:
713-552-1159
Provider Business Mailing Address Fax Number:
713-552-1169

Provider's Practice Location Mailing Address

Provider First Line Business Practice Location Address:
1415 NORTH LOOP W
Provider Second Line Business Practice Location Address:
SUITE 122
Provider Business Practice Location Address City Name:
HOUSTON
Provider Business Practice Location Address State Name:
TX
Provider Business Practice Location Address Postal Code:
77008-1664
Provider Business Practice Location Address Country Code:
US
Provider Business Practice Location Address Telephone Number:
713-552-1159
Provider Business Practice Location Address Fax Number:
713-552-1169
Provider Enumeration Date:
11/15/2005

Additional Information

Authorized Official

Authorized Official Last Name:
JANE
Authorized Official First Name:
CHRISTIAN
Authorized Official Middle Name:
Authorized Official Title or Position:
VICE PRESIDENT
Authorized Official Telephone Number:
713-552-1159

Provider Taxonomy Codes

  • Taxonomy code: 251E00000X , with the licence number:  009417 , registered in the state of TX ; information, associated with the NPI states the following Primary Taxonomy Switch: "Y" .

Other Provider's Identifiers (legacy, non-NPI)





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