PREMIER PLUS COMMUNITY LIVING LLC
NPI 1629769682
Custodial Care Facility - Adult Care Home in Woodbridge, VA

Active since May 18, 2023
4008 GENESEE PL STE 105, WOODBRIDGE, VA 22192(703) 455-3385(703) 580-9308 Get Directions Write a Review

NPPES record last updated: June 3, 2023. Verified against the NPPES registry weekly; last sync: August 09, 2026.

Record update history: Jun 3, 2023, May 18, 2023 (2 updates tracked since 2023).

About Premier Plus Community Living Llc NPPES

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

PREMIER PLUS COMMUNITY LIVING LLC (NPI 1629769682) is a healthcare organization registered as an adult care home in Woodbridge, Virginia and active in the NPI registry since May 2023. The organization lists Prince Afari Boateng, Administrator, as its authorized official.

NPPES Registry Identity

NPI1629769682
Entity TypeOrganization
Primary Taxonomy311ZA0620X
Legal Business NamePREMIER PLUS COMMUNITY LIVING LLC
Location Address4008 GENESEE PL STE 105Woodbridge, VA 22192-8306
Mailing Address4008 Genesee Pl Ste 105Woodbridge, VA 22192-8306 · (703) 455-3385 · Fax (703) 580-9308
Fax(703) 580-9308
Organization SubpartNo
Authorized OfficialPrince Afari BoatengAdministrator · (703) 455-3385
Enumeration DateMay 18, 2023
Last NPPES UpdateJune 3, 20232 updates tracked since enumeration
NPPES CertifiedJune 3, 2023
NPI 1629769682 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyCustodial Care Facility · Adult Care HomeNursing & Custodial Care Facilities
Taxonomy Code311ZA0620X
Definition
A custodial care facility providing supportive and personal care services to disabled and/or elderly individuals who cannot function independently in most areas of activity and need assistance and monitoring to enable them to remain in a home like environment.
4008 GENESEE PL STE 105, Woodbridge, VA 22192

Other Names 1

Doing Business AsPremier Plus Community Living Llc

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 Plus Community Living LLC's NPI number?

The NPI number for Premier Plus Community Living LLC is 1629769682. It was assigned to this organization in the NPPES registry on May 18, 2023.

Where is Premier Plus Community Living LLC located?

Premier Plus Community Living LLC is located at 4008 Genesee Pl Ste 105, Woodbridge, VA 22192. The listed phone number is (703) 455-3385.

What is Premier Plus Community Living LLC's specialty?

The primary specialty registered for this NPI is Custodial Care Facility, specializing in Adult Care Home, with taxonomy code 311ZA0620X.

When was this NPI record last updated?

The NPPES record for Premier Plus Community Living LLC was last updated on June 3, 2023. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 3 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.