PREMIER COMMUNITY LIVING
NPI 1699824318
Community Based Residential Treatment Facility, Intellectual and/or Developmental Disabilities in Wake Village, TX
About Premier Community Living NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
PREMIER COMMUNITY LIVING (NPI 1699824318) is a healthcare organization registered as a community based residential treatment facility, intellectual and/or developmental disabilities in Wake Village, Texas and active in the NPI registry since January 2007. The organization lists Tara Lynn Jackson, Membermanager, as its authorized official.
NPPES Registry Identity
Specialties & Licenses
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 Community Living's NPI number?
The NPI number for Premier Community Living is 1699824318. It was assigned to this organization in the NPPES registry on January 10, 2007.
Where is Premier Community Living located?
Premier Community Living is located at 1013 Mariana Dr, Wake Village, TX 75501. The listed phone number is (903) 832-2975.
What is Premier Community Living'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 Community Living was last updated on August 22, 2020. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 6 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.
# Premier Community Living · NPI 1699824318
Community Based Residential Treatment Facility, Intellectual and/or Developmental Disabilities organization in Wake Village, Texas. Organization record, active in the CMS NPPES registry since January 10, 2007.
## Identity
- **NPI:** 1699824318 (Entity type: Organization)
- **Enumerated:** January 10, 2007
- **Primary specialty:** Community Based Residential Treatment Facility, Intellectual and/or Developmental Disabilities · taxonomy 320900000X
- **Organization subpart:** No
- **Authorized official:** Tara Jackson, MEMBERMANAGER
## Practice location
- **Address:** 1013 MARIANA DR, Wake Village, TX 75501-6212
- **Phone:** (903) 832-2975
## Record status
- **NPPES last updated:** August 22, 2020
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Source: [NPI Profile](https://npiprofile.com/npi/1699824318) · Data from the CMS NPPES public registry.