Provider Demographics
NPI:1578311965
Name:PLATINUMCARE HOME CARE SERVICES LLC
Entity type:Organization
Organization Name:PLATINUMCARE HOME CARE SERVICES LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:ADMINISTRATOR
Authorized Official - Prefix:
Authorized Official - First Name:CHRISTINE
Authorized Official - Middle Name:
Authorized Official - Last Name:OTUO-ACHEAMPONG
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:240-393-8628
Mailing Address - Street 1:5903 PADDINGTON CT
Mailing Address - Street 2:
Mailing Address - City:ROANOKE
Mailing Address - State:VA
Mailing Address - Zip Code:24018-7408
Mailing Address - Country:US
Mailing Address - Phone:240-393-8628
Mailing Address - Fax:
Practice Address - Street 1:5903 PADDINGTON COURT
Practice Address - Street 2:
Practice Address - City:ROANOKE
Practice Address - State:VA
Practice Address - Zip Code:24018
Practice Address - Country:US
Practice Address - Phone:240-393-8628
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2024-05-09
Last Update Date:2024-05-09
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251E00000XAgenciesHome Health