# PLATINUM HEALTHCARE IN HOME SERVICES LLC

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- **Entity:** Organization
- **Status:** Active
- **Organization subpart:** No

## Provider details

- **NPI number:** 1659152148
- **Authorized official:** SHONTAY SIMPSON (EXECUTIVE DIRECTOR)
- **Authorized official phone:** (314) 395-8708

## Contact information

- **Practice address:** 1735 S NEW FLORISSANT RD STE C, FLORISSANT, MO 63031-8300
- **Practice address phone:** (314) 395-8708
- **Practice address fax:** (314) 561-7489
- **Mailing address:** 1735 S NEW FLORISSANT RD STE C, FLORISSANT, MO 63031-8300
- **Mailing address phone:** (314) 395-8708
- **Mailing address fax:** (314) 561-7489

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 251E00000X | Home Health Agency | — | NULL | Yes |

## Other

- **Enumeration date:** 10/10/2023
- **Last updated:** 10/10/2023