Healthcare Provider Details
I. General information
NPI: 1356265524
Provider Name (Legal Business Name): PLATINUM CIRCLE INC
Entity Type: Organization
Gender:
Sole Proprietor:
II. Dates (important events)
Enumeration Date: 08/08/2026
Last Update Date: 08/08/2026
Certification Date: 08/08/2026
Deactivation Date:
Reactivation Date:
III. Provider practice location address
2200 N LIMESTONE ST STE 116
SPRINGFIELD OH
45503-2692
US
IV. Provider business mailing address
33 N KENSINGTON PL
SPRINGFIELD OH
45504-1026
US
V. Phone/Fax
- Phone: 937-903-1920
- Fax:
- Phone: 937-903-1920
- Fax:
VI. Provider taxonomy
Scope of Practice (Provider specialty)
| # 1 | |
| Primary Taxonomy | Y |
| Taxonomy Code | 261QA0600X |
| Taxonomy | Adult Day Care Clinic/Center |
| License Number | |
| License Number State | |
VIII. Authorized Official
Name:
MAURICE
STINNETT
Title or Position: OWNER
Credential: PHD
Phone: 937-903-1920