Provider Demographics
NPI:1912140708
Name:PLATINUM CARE, INC
Entity type:Organization
Organization Name:PLATINUM CARE, INC
Other - Org Name:<UNAVAIL>
Other - Org Type:
Authorized Official - Title/Position:MANAGER
Authorized Official - Prefix:
Authorized Official - First Name:KRIS
Authorized Official - Middle Name:
Authorized Official - Last Name:SAULS
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:435-656-4855
Mailing Address - Street 1:2046 N TUWEAP DR
Mailing Address - Street 2:
Mailing Address - City:ST GEORGE
Mailing Address - State:UT
Mailing Address - Zip Code:84770-4763
Mailing Address - Country:US
Mailing Address - Phone:435-656-4855
Mailing Address - Fax:435-628-3799
Practice Address - Street 1:2046 N TUWEAP DR
Practice Address - Street 2:
Practice Address - City:ST GEORGE
Practice Address - State:UT
Practice Address - Zip Code:84770-4763
Practice Address - Country:US
Practice Address - Phone:435-656-4855
Practice Address - Fax:435-628-3799
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2009-04-09
Last Update Date:2009-04-09
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
UT2008-ALII-85085310400000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes310400000XNursing & Custodial Care FacilitiesAssisted Living Facility