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

Active since July 08, 2020
115 NEW RD, KENDALL PARK, NJ 08824(512) 327-2325 Get Directions Write a Review

NPPES record last updated: November 6, 2024. Verified against the NPPES registry weekly; last sync: August 09, 2026.

Record update history: Nov 6, 2024, Mar 5, 2023, Oct 7, 2022 and 1 more (4 updates tracked since 2020).

About Premier Supports, Llc NPPES

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

PREMIER SUPPORTS, LLC (NPI 1831717644) is a healthcare organization registered as a community based residential treatment facility, intellectual and/or developmental disabilities in Kendall Park, New Jersey and active in the NPI registry since July 2020. The organization lists Mary Patricia Rodenberg-roberts, Vp & Sr Asst General Counsel, as its authorized official.

NPPES Registry Identity

NPI1831717644
Entity TypeOrganization
Primary Taxonomy320900000X
Legal Business NamePREMIER SUPPORTS, LLC
Location Address115 NEW RDKendall Park, NJ 08824-1132
Mailing Address6600 France Ave S Ste 350Edina, MN 55435-1810 · (800) 388-5150
Phone(512) 327-2325
Organization SubpartNo
Authorized OfficialMary Patricia Rodenberg-robertsVp & Sr Asst General Counsel · (952) 836-2234
Enumeration DateJuly 8, 2020
Last NPPES UpdateNovember 6, 20244 updates tracked since enumeration
NPPES CertifiedNovember 6, 2024
✔ NPI 1831717644 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ 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.
115 NEW RD, Kendall Park, NJ 08824
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Other Providers at the Same Location NPPES

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

REM NEW JERSEY, INC.
Community Based Residential Treatment Facility, Intellectual and/or Developmental Disabilities
115 NEW RD
KENDALL PARK, NJ 08824
Middlesex County (732) 627-9890

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 Supports, LLC's NPI number?

The NPI number for Premier Supports, LLC is 1831717644. It was assigned to this organization in the NPPES registry on July 8, 2020.

Where is Premier Supports, LLC located?

Premier Supports, LLC is located at 115 New Rd, Kendall Park, NJ 08824. The listed phone number is (512) 327-2325.

What is Premier Supports, LLC'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 Supports, LLC was last updated on November 6, 2024. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 21 months 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.