1. Home
  2. Directory
  3. New Jersey
  4. Kendall Park
  5. Community Based Residential Treatment Facility Intellectual And Or Developmental Disabilities
  6. NPI Profile

PREMIER SUPPORTS, LLC
NPI 1487210357
Community Based Residential Treatment Facility, Intellectual and/or Developmental Disabilities in Kendall Park, NJ

Active since May 15, 2019
20 RICHFORD RD, KENDALL PARK, NJ 08824(512) 327-2325(512) 628-1553 Get Directions Write a Review

NPPES record last updated: November 6, 2024. Verified against the NPPES registry weekly; last sync: July 26, 2026.

Record update history: Nov 6, 2024, Oct 7, 2022, May 15, 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 1487210357) is a healthcare organization registered as a community based residential treatment facility, intellectual and/or developmental disabilities in Kendall Park, 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

NPI1487210357
Entity TypeOrganization
Primary Taxonomy320900000X
Legal Business NamePREMIER SUPPORTS, LLC
Location Address20 RICHFORD RDKendall Park, NJ 08824-1108
Mailing Address6600 France Ave S Ste 350Edina, MN 55435-1810 · (800) 388-5150
Phone(512) 327-2325
Fax(512) 628-1553
Organization SubpartNo
Authorized OfficialMary Patricia Rodenberg-robertsVp & Sr Asst General Counsel · (952) 836-2234
Enumeration DateMay 15, 2019
Last NPPES UpdateNovember 6, 20243 updates tracked since enumeration
NPPES CertifiedNovember 6, 2024
✔ NPI 1487210357 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.

20 RICHFORD RD, Kendall Park, NJ 08824
Open in Google Maps ↗

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.

FRIENDSHIP HOME SOLUTIONS OF NEW JERSEY
In Home Supportive Care
20 RICHFORD RD
KENDALL PARK, NJ 08824
Middlesex County (732) 626-5096
REM NEW JERSEY, INC.
Community Based Residential Treatment Facility, Intellectual and/or Developmental Disabilities
20 RICHFORD RD
KENDALL PARK, NJ 08824
Middlesex 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 1487210357. It was assigned to this organization in the NPPES registry on May 15, 2019.

Where is Premier Supports, LLC located?

Premier Supports, LLC is located at 20 Richford Rd, Kendall Park, NJ 08824. The listed phone number is (512) 327-2325.

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 with the weekly NPPES data releases published by CMS.