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PREMIER SUPPORTS, LLC
NPI 1386201499
Community Based Residential Treatment Facility, Intellectual and/or Developmental Disabilities in Bridgewater, NJ

Active since May 23, 2019
993 SEVERIN DR, BRIDGEWATER, NJ 08807(512) 628-1553(512) 628-1553 Get Directions Write a Review

NPPES record last updated: November 6, 2024. Verified against the NPPES registry weekly; last sync: August 02, 2026.

Record update history: Nov 6, 2024, Oct 7, 2022, May 23, 2019 (3 updates tracked since 2019).

About Premier Supports, Llc NPPES

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

PREMIER SUPPORTS, LLC (NPI 1386201499) is a healthcare organization registered as a community based residential treatment facility, intellectual and/or developmental disabilities in Bridgewater, New Jersey and active in the NPI registry since May 2019. The organization lists Mary Patricia Rodenberg-roberts, Vp & Sr Asst General Counsel, as its authorized official.

NPPES Registry Identity

NPI1386201499
Entity TypeOrganization
Primary Taxonomy320900000X
Legal Business NamePREMIER SUPPORTS, LLC
Location Address993 SEVERIN DRBridgewater, NJ 08807-2326
Mailing Address6600 France Ave S Ste 350Edina, MN 55435-1810 · (800) 388-5150
Phone(512) 628-1553
Fax(512) 628-1553
Organization SubpartNo
Authorized OfficialMary Patricia Rodenberg-robertsVp & Sr Asst General Counsel · (952) 836-2234
Enumeration DateMay 23, 2019
Last NPPES UpdateNovember 6, 20243 updates tracked since enumeration
NPPES CertifiedNovember 6, 2024
✔ NPI 1386201499 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyCommunity Based Residential Treatment Facility, Intellectual and/or Developmental DisabilitiesResidential Treatment Facilities
Taxonomy Code320900000X
Definition
A home-like residential facility providing habilitation, support and monitoring services to individuals diagnosed with mental retardation and/or developmental disabilities.
993 SEVERIN DR, Bridgewater, NJ 08807
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Other Providers at the Same Location NPPES 2

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

ADVOSERV OF NEW JERSEY, INC.
Community Based Residential Treatment Facility, Intellectual and/or Developmental Disabilities
993 SEVERIN DR
BRIDGEWATER, NJ 08807
Somerset County (856) 241-3320
REM NEW JERSEY, INC.
Community Based Residential Treatment Facility, Intellectual and/or Developmental Disabilities
993 SEVERIN DR
BRIDGEWATER, NJ 08807
Somerset County (732) 627-9890

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 Premier Supports, LLC's NPI number?

The NPI number for Premier Supports, LLC is 1386201499. It was assigned to this organization in the NPPES registry on May 23, 2019.

Where is Premier Supports, LLC located?

Premier Supports, LLC is located at 993 Severin Dr, Bridgewater, NJ 08807. The listed phone number is (512) 628-1553.

What is Premier Supports, LLC's specialty?

The primary specialty registered for this NPI is Community Based Residential Treatment Facility, Intellectual and/or Developmental Disabilities with taxonomy code 320900000X.

When was this NPI record last updated?

The NPPES record for Premier Supports, LLC was last updated on November 6, 2024. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 20 months 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.