PREMIEANT INC
NPI 1306599121
Intermediate Care Facility, Intellectual Disabilities in San Antonio, TX

Active since February 01, 2022
4926 WATERING TRAIL DR, SAN ANTONIO, TX 78247(210) 495-0302(210) 979-8047 Get Directions Write a Review

NPPES record last updated: February 1, 2022. Verified against the NPPES registry weekly; last sync: July 19, 2026.

About Premieant Inc NPPES

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

PREMIEANT INC (NPI 1306599121), doing business as Watering Trail Home, is a healthcare organization registered as an intermediate care facility, intellectual disabilities in San Antonio, Texas and active in the NPI registry since February 2022. The organization lists Jeffrey Engelke, President, as its authorized official.

NPPES Registry Identity

NPI1306599121
Entity TypeOrganization
Primary Taxonomy315P00000X
Legal Business NamePREMIEANT INC
Location Address4926 WATERING TRAIL DRSan Antonio, TX 78247-5910
Mailing Address1110 W William Cannon Dr Bldg 2Austin, TX 78745-5468 · (512) 916-1632 · Fax (512) 916-1639
Fax(210) 979-8047
Organization SubpartNo
Authorized OfficialJeffrey EngelkePresident · (512) 916-1632
Enumeration DateFebruary 1, 2022
NPPES CertifiedJanuary 24, 2022
NPI 1306599121 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.

4926 WATERING TRAIL DR, San Antonio, TX 78247

Other Names 1

Doing Business AsWatering Trail Home

Other Identifiers 17

Medicaid11347600002TX
Medicaid1335232695TX
Medicaid1871604934TX
Medicaid1962505321TX
Medicaid1144323502TX
Medicaid1215588959TX
Medicaid1699886762TX
Medicaid1053414417TX
Medicaid1124139340TX
Medicaid1235240300TX
Medicaid1326141789TX
Medicaid1467563536TX
Medicaid1417505124TX
Medicaid1396856514TX
Medicaid1407967573TX
Medicaid1417050873TX
Medicaid1871696237TX

Other Providers at the Same Location NPPES

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

Intermediate Care Facility, Intellectual Disabilities
4926 WATERING TRAIL DR
SAN ANTONIO, TX 78247

Frequently Asked Questions

The NPI number assigned to this healthcare provider is 1306599121, enumerated as an "organization" on February 01, 2022.

The provider is located at 4926 WATERING TRAIL DR SAN ANTONIO, TX 78247 and the phone number is (210) 495-0302.

Intermediate Care Facility, Intellectual Disabilities with taxonomy code 315P00000X.

The provider might be accepting Accepts: Medicare and Medicaid. Please consult your insurance carrier or call the provider to verify.