PREMIER SUPPORTS, LLC
NPI 1831717644
Community Based Residential Treatment Facility, Intellectual and/or Developmental Disabilities in Kendall Park, NJ

NPI Status: Active since July 08, 2020

Contact Information

115 NEW RD
KENDALL PARK, NJ
ZIP 08824
Phone: (512) 327-2325

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About PREMIER SUPPORTS, LLC

Premier Supports, Llc is 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 1831717644 assigned on July 2020. The practitioner's primary taxonomy code is 320900000X. The provider is registered as an organization and their NPI record was last updated one year ago. The authorized official of this NPI record is Brett Ian Cohen (Coo)

NPI
1831717644
Provider Name
PREMIER SUPPORTS, LLC
Entity Type
Organization
Location Address
115 NEW RD KENDALL PARK, NJ 08824
Location Phone
(512) 327-2325
Mailing Address
313 CONGRESS ST FL 5 BOSTON, MA 02210
Mailing Phone
(800) 388-5150
Mailing Fax
Is Sole Proprietor?
No
Is Organization Subpart?
Yes
Enumeration Date
07-08-2020
Last Update Date
03-05-2023
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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.

Authorized Official

The authorized official is the designated individual with the legal authority to make changes to the provider’s official NPI record. For organizations, the authorized official must be a general partner, chairman of the board, CEO, CFO or a direct owner holding at least a 5 percent stake in the medical organization.

Authorized Official Name

BRETT IAN COHEN

Authorized Official Title
COO
Authorized Official Phone
(800) 388-5150

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NPI Validation Check Digit Calculation


The following table explains the step by step NPI number validation process using the ISO standard Luhn algorithm.

Start with the original NPI number, the last digit is the check digit and is not used in the calculation.
1831717644
Step 1: Double the value of the alternate digits, beginning with the rightmost digit.
28611411468
Step 2: Add all the doubled and unaffected individual digits from step 1 plus the constant number 24.
2 + 8 + 6 + 1 + 1 + 4 + 1 + 1 + 4 + 6 + 8 + 24 = 66
Step 3: Subtract the total obtained in step 2 from the next higher number ending in zero, the result is the check digit.
70 - 66 = 44

The NPI number 1831717644 is valid because the calculated check digit 4 using the Luhn validation algorithm matches the last digit of the original NPI number.

Frequently Asked Questions

The NPI number assigned to this healthcare provider is 1831717644, enumerated in the NPI registry as an "organization" on July 08, 2020

The provider is located at 115 New Rd Kendall Park, Nj 08824 and the phone number is (512) 327-2325

This medical organization specializes in Community Based Residential Treatment Facility, Intellectual and/or Developmental Disabilities with taxonomy code 320900000X

This NPI record was last updated on July 08, 2020. To officially update your NPI information contact the National Plan and Provider Enumeration System (NPPES) at 1-800-465-3203 (NPI Toll-Free) or by email at [email protected].
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