Recently Updated NPI Information — some details in this NPI profile have been updated in the NPI registry within the last 60 days.

PREMIUM RESIDENTIAL LLC
NPI 1235859869
Community Based Residential Treatment Facility, Mental Illness in Casa Grande, AZ

Q: What is Premium Residential LLC's NPI number?

The NPI number for Premium Residential LLC is 1235859869. It was assigned to this organization in the NPPES registry on September 1, 2022.

Q: What is Premium Residential LLC's specialty?

The primary specialty registered for this NPI is Community Based Residential Treatment Facility, Mental Illness with taxonomy code 320800000X.

Active since September 01, 2022

3545 N CINNABAR PL, CASA GRANDE, AZ 85122(346) 754-4511 Get Directions Write a Review

NPPES record last updated: August 3, 2026. Verified against the NPPES registry weekly; last sync: August 16, 2026.

Record update history: Aug 3, 2026, Sep 1, 2022 (2 updates tracked since 2022).

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About Premium Residential Llc NPPES

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

PREMIUM RESIDENTIAL LLC (NPI 1235859869) is a healthcare organization registered as a community based residential treatment facility, mental illness in Casa Grande, Arizona and active in the NPI registry since September 2022. The organization lists Kesiena Eruotor, Administrator, as its authorized official.

NPPES Registry Identity

NPI1235859869

Entity TypeOrganization

Primary Taxonomy320800000X

Legal Business NamePREMIUM RESIDENTIAL LLC

Location Address3545 N CINNABAR PLCasa Grande, AZ 85122

Mailing Address3545 N Cinnabar PlCasa Grande, AZ 85122 · (346) 754-4511

Phone(346) 754-4511

Organization SubpartNo

Authorized OfficialKesiena EruotorAdministrator · (346) 754-4511

Enumeration DateSeptember 1, 2022

Last NPPES UpdateAugust 3, 20262 updates tracked since enumeration

NPPES CertifiedAugust 3, 2026

✔ NPI 1235859869 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyCommunity Based Residential Treatment Facility, Mental IllnessResidential Treatment Facilities

Taxonomy Code320800000X

Definition

A home-like residential facility providing psychiatric treatment and psycho/social rehabilitative services to individuals diagnosed with mental illness.

3545 N CINNABAR PL, Casa Grande, AZ 85122

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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 Premium Residential LLC's NPI number?

The NPI number for Premium Residential LLC is 1235859869. It was assigned to this organization in the NPPES registry on September 1, 2022.

Where is Premium Residential LLC located?

Premium Residential LLC is located at 3545 N Cinnabar Pl, Casa Grande, AZ 85122. The listed phone number is (346) 754-4511.

What is Premium Residential LLC's specialty?

The primary specialty registered for this NPI is Community Based Residential Treatment Facility, Mental Illness with taxonomy code 320800000X.

When was this NPI record last updated?

The NPPES record for Premium Residential LLC was last updated on August 3, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 18 days 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.