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PREMIEANT INC
NPI 1225792070
Intermediate Care Facility, Intellectual Disabilities in San Antonio, TX

Active since October 27, 2021
3506 FOREST GLADE ST, SAN ANTONIO, TX 78247(512) 916-1632(512) 916-1639 Get Directions Write a Review

NPPES record last updated: October 27, 2021. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Premieant Inc NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

PREMIEANT INC (NPI 1225792070), doing business as Forest Glade, is a healthcare organization registered as an intermediate care facility, intellectual disabilities in San Antonio, Texas and active in the NPI registry since October 2021. The organization lists Jeffrey Engelke, President, as its authorized official.

NPPES Registry Identity

NPI1225792070
Entity TypeOrganization
Primary Taxonomy315P00000X
Legal Business NamePREMIEANT INC
Location Address3506 FOREST GLADE STSan Antonio, TX 78247-3107
Mailing Address1110 W William Cannon Dr Bldg 2Austin, TX 78745-5468 · (512) 916-1632 · Fax (512) 916-1639
Phone(512) 916-1632
Fax(512) 916-1639
Organization SubpartNo
Authorized OfficialJeffrey EngelkePresident · (512) 916-1632
Enumeration DateOctober 27, 2021
NPPES CertifiedOctober 27, 2021
✔ NPI 1225792070 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyIntermediate Care Facility, Intellectual DisabilitiesNursing & Custodial Care Facilities
Taxonomy Code315P00000X
Definition
An intermediate care facility providing services for individuals with intellectual disabilities.
3506 FOREST GLADE ST, San Antonio, TX 78247
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Other Names 2

Doing Business AsForest Glade
Doing Business AsForest Glade Home

Other Identifiers 11

Medicaid1235240300TX
Medicaid1871696237TX
Medicaid1962505321TX
Medicaid1407967573TX
Medicaid1871604934TX
Medicaid1124139340TX
Medicaid1326141789TX
Medicaid1396856514TX
Medicaid1235232695TX
Medicaid1467563536TX
Medicaid1144323502TX

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Premieant Inc's NPI number?

The NPI number for Premieant Inc is 1225792070. It was assigned to this organization in the NPPES registry on October 27, 2021. The provider is doing business as Forest Glade and Forest Glade Home.

Where is Premieant Inc located?

Premieant Inc is located at 3506 Forest Glade St, San Antonio, TX 78247. The listed phone number is (512) 916-1632.

What is Premieant Inc's specialty?

The primary specialty registered for this NPI is Intermediate Care Facility, Intellectual Disabilities with taxonomy code 315P00000X.

When was this NPI record last updated?

The NPPES record for Premieant Inc was last updated on October 27, 2021. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 4 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.