PLATINUM PLUS CARE
NPI 1285179887
Assisted Living Facility in Indianola, MS

NPI Status: Active since January 05, 2017

Contact Information

617 HIGHWAY 82 W
INDIANOLA, MS
ZIP 38751
Phone: (662) 445-2600

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  • Organization
  • Assisted Living Facility
  • CLIA Number: 25D2193926
  • CLIA Cert. Type: Assisted Living Facility
  • CLIA Exp. Date: 09-24-2026

About PLATINUM PLUS CARE

This page provides the complete NPI Profile along with additional information for Platinum Plus Care, a provider established in Indianola, Mississippi operating as a Assisted Living Facility. The healthcare provider is registered in the NPI registry with number 1285179887 assigned on January 2017. The practitioner's primary taxonomy code is 310400000X with license number 205593 (MS). The provider is registered as an organization and their NPI record was last updated 8 years ago. The authorized official of this NPI record is Miss Maple Lean Campbell (Ceo)

NPI
1285179887
Provider Name
PLATINUM PLUS CARE
Entity Type
Organization
Location Address
617 HIGHWAY 82 W INDIANOLA, MS 38751
Location Phone
(662) 445-2600
Mailing Address
PO BOX 649 617 HIGWAY 82 WEST INDIANOLA, MS 38751
Mailing Phone
(662) 445-2600
Is Sole Proprietor?
No
Is Organization Subpart?
No
Enumeration Date
01-05-2017
Last Update Date
05-23-2017
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Specialty - Primary Taxonomy

The NPI enumerator requires providers to submit at least one taxonomy code. A taxonomy code is a unique 10-character code that describes the healthcare provider type, classification, and the area of specialization. There could be only one primary taxonomy code per NPI record. For individual NPIs the license data is associated to the taxonomy code.

Classification

Assisted Living Facility

Taxonomy Code
310400000X
Type
Nursing & Custodial Care Facilities
License No.
205593
License State
MS
Taxonomy Description
A facility providing supportive services to individuals who can function independently in most areas of activity, but need assistance and/or monitoring to assure safety and well being.

Authorized Official

The authorized official is the designated individual with the legal authority to make changes to the provider’s official NPI record. For organizations, the authorized official must be a general partner, chairman of the board, CEO, CFO or a direct owner holding at least a 5 percent stake in the medical organization.

Authorized Official Name

MISS MAPLE LEAN CAMPBELL

Authorized Official Title
CEO
Authorized Official Phone
(662) 445-2600

CLIA Information

The Clinical Laboratory Improvement Amendments (CLIA) of 1988 applies to facilities or sites that test human specimens for health assessment or to diagnose, prevent, or treat disease. The CLIA Program sets standards for clinical laboratory testing and issues certificates. The NPI / CLIA crosswalk information for this NPI number is:

CLIA Number
25D2193926
Facility Type
Assisted Living Facility
Certificate Effective Date
September 25, 2024
Certificate Expiration Date
September 24, 2026
Laboratory Director
MAPLE CAMPBELL
Certificate Type
Certificate of Waiver
Certificate Type Description
This CLIA certificate is issued to Platinum Plus Care to perform only waived tests. CLIA defines waived tests as simple tests with a low risk for an incorrect result. Waived tests include certain tests listed in CLIA regulations, tests cleared by the FDA for home use and tests approved by the FDA for waived status and that meet CLIA waiver criteria.

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NPI Validation Check Digit Calculation


The following table explains the step by step NPI number validation process using the ISO standard Luhn algorithm.

Start with the original NPI number, the last digit is the check digit and is not used in the calculation.
1285179887
Step 1: Double the value of the alternate digits, beginning with the rightmost digit.
221652718816
Step 2: Add all the doubled and unaffected individual digits from step 1 plus the constant number 24.
2 + 2 + 1 + 6 + 5 + 2 + 7 + 1 + 8 + 8 + 1 + 6 + 24 = 73
Step 3: Subtract the total obtained in step 2 from the next higher number ending in zero, the result is the check digit.
80 - 73 = 77

The NPI number 1285179887 is valid because the calculated check digit 7 using the Luhn validation algorithm matches the last digit of the original NPI number.

Other Providers at the Same Location


The following provider is registered at the same or nearby location.

NPI Name / Type Taxonomy Address
1164872065 MINNIE CAMPBELL CNA
Individual
Nurse's Aide617 HIGHWAY 82 W
INDIANOLA, MS 38751
(662) 452-3867

Frequently Asked Questions

The NPI number assigned to this healthcare provider is 1285179887, enumerated in the NPI registry as an "organization" on January 05, 2017

The provider is located at 617 Highway 82 W Indianola, Ms 38751 and the phone number is (662) 445-2600

This medical organization specializes in Assisted Living Facility with taxonomy code 310400000X

The provider's CLIA number is 25D2193926 for a "assisted living facility" facility with a CLIA Certificate of Waiver. This CLIA certificate is issued to perform only waived tests. CLIA defines waived tests as simple tests with a low risk for an incorrect result. Waived tests include certain tests listed in CLIA regulations, tests cleared by the FDA for home use and tests approved by the FDA for waived status and that meet CLIA waiver criteria..

This NPI record was last updated on January 05, 2017. To officially update your NPI information contact the National Plan and Provider Enumeration System (NPPES) at 1-800-465-3203 (NPI Toll-Free) or by email at [email protected].
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