MEDICARE: PLATINUM HEALTH CARE OF OKLAHOMA, LLC

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	251E00000X	Home Health Agency	7345	OK

General Provider Information

NPI Number	:	1841253796
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	PLATINUM HEALTH CARE OF OKLAHOMA, LLC

Provider Business Mailing Address
First Line	:	6760 OLD JACKSONVILLE HWY STE 101
Second Line	:
City	:	TYLER
State	:	TX
Zip	:	75703-0566
Country	:	US
Telephone Number	:	855-485-8273
Fax Number	:

Provider Business Practice Location Address
First Line	:	4700 W URBANA ST STE 200C
Second Line	:
City	:	BROKEN ARROW
State	:	OK
Zip	:	74012-5520
Country	:	US
Telephone Number	:	918-281-8200
Fax Number	:

Authorized Official
Title or Position	:	SECRETARY
Name	:	KATRINA DAWN LANIER
Credential	:
Telephone Number	:	855-485-8273

Provider Enumeration Date	:	04/11/2006
Last Update Date	:	12/31/2025

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