Provider Demographics
NPI:1306988803
Name:PLATINUM HOME & COMMUNITY MOBILITY CORP.
Entity type:Organization
Organization Name:PLATINUM HOME & COMMUNITY MOBILITY CORP.
Other - Org Name:<UNAVAIL>
Other - Org Type:
Authorized Official - Title/Position:PRESIDENT
Authorized Official - Prefix:
Authorized Official - First Name:MARC
Authorized Official - Middle Name:ANTHONY
Authorized Official - Last Name:VASIL
Authorized Official - Suffix:
Authorized Official - Credentials:MPT
Authorized Official - Phone:440-229-5822
Mailing Address - Street 1:15400 PEARL RD STE 207
Mailing Address - Street 2:
Mailing Address - City:STRONGSVILLE
Mailing Address - State:OH
Mailing Address - Zip Code:44136-6051
Mailing Address - Country:US
Mailing Address - Phone:440-229-5822
Mailing Address - Fax:440-484-5300
Practice Address - Street 1:5813 MAYFIELD RD STE 202
Practice Address - Street 2:
Practice Address - City:MAYFIELD HTS
Practice Address - State:OH
Practice Address - Zip Code:44124-2937
Practice Address - Country:US
Practice Address - Phone:216-777-3118
Practice Address - Fax:440-484-5300
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2007-02-12
Last Update Date:2025-05-09
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes332B00000XSuppliersDurable Medical Equipment & Medical Supplies
Provider Identifiers
StateIdentifier IDID TypeIssuer
FL027175600Medicaid
FL0141440001Medicare NSC