Provider Demographics
NPI:1386424018
Name:PLATINUM SENIORS CARE, LLC
Entity type:Organization
Organization Name:PLATINUM SENIORS CARE, LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:CEO
Authorized Official - Prefix:DR
Authorized Official - First Name:JACQUES
Authorized Official - Middle Name:JULES
Authorized Official - Last Name:NOUMSI
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:240-643-4615
Mailing Address - Street 1:10770 COLUMBIA PIKE STE 300E-28
Mailing Address - Street 2:
Mailing Address - City:SILVER SPRING
Mailing Address - State:MD
Mailing Address - Zip Code:20901-4402
Mailing Address - Country:US
Mailing Address - Phone:301-476-1621
Mailing Address - Fax:
Practice Address - Street 1:10770 COLUMBIA PIKE STE 300E-28
Practice Address - Street 2:
Practice Address - City:SILVER SPRING
Practice Address - State:MD
Practice Address - Zip Code:20901-4402
Practice Address - Country:US
Practice Address - Phone:301-476-1621
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2023-10-02
Last Update Date:2024-03-05
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251E00000XAgenciesHome Health
No253Z00000XAgenciesIn Home Supportive Care