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PREMIER COMMUNITY SUPPORTS, LLC.
NPI 1700364502
Community Based Residential Treatment Facility, Intellectual and/or Developmental Disabilities in Grants Pass, OR

Active since August 02, 2018
1439 NE 6TH ST STE C, GRANTS PASS, OR 97526(541) 787-5172 Get Directions Write a Review

NPPES record last updated: August 14, 2018. Verified against the NPPES registry weekly; last sync: July 19, 2026.

Record update history: Aug 14, 2018, Aug 2, 2018 (2 updates tracked since 2018).

About Premier Community Supports, Llc. NPPES

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

PREMIER COMMUNITY SUPPORTS, LLC. (NPI 1700364502) is a healthcare organization registered as a community based residential treatment facility, intellectual and/or developmental disabilities in Grants Pass, Oregon and active in the NPI registry since August 2018. The organization lists Josh Douglas Taylor, Owner, as its authorized official.

NPPES Registry Identity

NPI1700364502
Entity TypeOrganization
Primary Taxonomy320900000X
Legal Business NamePREMIER COMMUNITY SUPPORTS, LLC.
Location Address1439 NE 6TH ST STE CGrants Pass, OR 97526
Mailing Address521 Ne Dean DrGrants Pass, OR 97526-2230 · (541) 787-5172
Phone(541) 787-5172
Organization SubpartNo
Authorized OfficialJosh Douglas TaylorOwner · (541) 787-5172
Enumeration DateAugust 2, 2018
Last NPPES UpdateAugust 14, 20182 updates tracked since enumeration
✔ NPI 1700364502 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ 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.

Also ListedDay Training, Developmentally Disabled ServicesTaxonomy 251C00000X
1439 NE 6TH ST STE C, Grants Pass, OR 97526
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Other Identifiers 1

Medicaid103120OR

Frequently Asked Questions

What is PREMIER COMMUNITY SUPPORTS, LLC.'s NPI number?

The NPI number assigned to this healthcare provider is 1700364502, enumerated as an "organization" on August 02, 2018.

Where is the provider located?

The provider is located at 1439 NE 6TH ST STE C GRANTS PASS, OR 97526 and the phone number is (541) 787-5172.

What is the provider's specialty?

Community Based Residential Treatment Facility, Intellectual and/or Developmental Disabilities with taxonomy code 320900000X.

What insurance does PREMIER COMMUNITY SUPPORTS, LLC. accept?

The provider might be accepting Accepts: Medicare and Medicaid. Please consult your insurance carrier or call the provider to verify.