Healthcare Provider Details

I. General information

NPI: 1841253796
Provider Name (Legal Business Name): PLATINUM HEALTH CARE OF OKLAHOMA, LLC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 04/11/2006
Last Update Date: 12/31/2025
Certification Date: 12/31/2025
Deactivation Date:
Reactivation Date:

III. Provider practice location address

4700 W URBANA ST STE 200C
BROKEN ARROW OK
74012-5520
US

IV. Provider business mailing address

6760 OLD JACKSONVILLE HWY STE 101
TYLER TX
75703-0566
US

V. Phone/Fax

Practice location:
  • Phone: 918-281-8200
  • Fax:
Mailing address:
  • Phone: 855-485-8273
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code251E00000X
TaxonomyHome Health Agency
License Number7345
License Number StateOK

VIII. Authorized Official

Name: KATRINA DAWN LANIER
Title or Position: SECRETARY
Credential:
Phone: 855-485-8273