PREMIER SUPPORTS, LLC
NPI 1669038295
Community Based Residential Treatment Facility, Intellectual and/or Developmental Disabilities in Kendall Park, NJ
- Organization
- Community Based Residential Treatment Fa...
About PREMIER SUPPORTS, LLC
This page provides the complete NPI Profile along with additional information for Premier Supports, Llc, a provider established in Kendall Park, New Jersey operating as a Community Based Residential Treatment Facility, Intellectual And/or Developmental Disabilities. The healthcare provider is registered in the NPI registry with number 1669038295 assigned on May 2019. The practitioner's primary taxonomy code is 320900000X. The provider is registered as an organization and their NPI record was last updated 2 years ago. The authorized official of this NPI record is Mary Patricia Rodenberg-roberts (Vp & Sr Asst General Counsel)
- NPI
- 1669038295 Verify this NPI
- Provider Name
- PREMIER SUPPORTS, LLC
- Entity Type
- Organization
- Location Address
- 2 CRANSTON RD KENDALL PARK, NJ 08824
- Location Phone
- (512) 327-2325
- Location Fax
- (512) 628-1553
- Mailing Address
- 6600 FRANCE AVE S STE 350 EDINA, MN 55435
- Mailing Phone
- (800) 388-5150
- Is Sole Proprietor?
- No
- Is Organization Subpart?
- No
- Enumeration Date
- 05-20-2019
- Last Update Date
- 11-06-2024
- Code Navigator
Location Map
Specialty - Primary Taxonomy
The NPI enumerator requires providers to submit at least one taxonomy code. A taxonomy code is a unique 10-character code that describes the healthcare provider type, classification, and the area of specialization. There could be only one primary taxonomy code per NPI record. For individual NPIs the license data is associated to the taxonomy code.
- Classification
Community Based Residential Treatment Facility, Intellectual and/or Developmental Disabilities
- Taxonomy Code
- 320900000X
- Type
- Residential Treatment Facilities
- Taxonomy Description
- A home-like residential facility providing habilitation, support and monitoring services to individuals diagnosed with mental retardation and/or developmental disabilities.
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Other Providers at the Same Location
The following 2 providers are registered at the same or a nearby location.
KENDALL PARK, NJ 08824
Frequently Asked Questions
The NPI number assigned to this healthcare provider is 1669038295, enumerated as an "organization" on May 20, 2019.
The provider is located at 2 CRANSTON RD KENDALL PARK, NJ 08824 and the phone number is (512) 327-2325.
Community Based Residential Treatment Facility, Intellectual and/or Developmental Disabilities with taxonomy code 320900000X.
