PREMIUM RESIDENTIAL LIVING LLC
NPI 1841128451
Community Based Residential Treatment Facility, Intellectual and/or Developmental Disabilities in Irvington, NJ
About Premium Residential Living Llc NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
PREMIUM RESIDENTIAL LIVING LLC (NPI 1841128451) is a healthcare organization registered as a community based residential treatment facility, intellectual and/or developmental disabilities in Irvington, New Jersey and active in the NPI registry since May 2026. The organization lists Leslie Martinez, Owner, 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 Premium Residential Living LLC's NPI number?
The NPI number for Premium Residential Living LLC is 1841128451. It was assigned to this organization in the NPPES registry on May 12, 2026.
Where is Premium Residential Living LLC located?
Premium Residential Living LLC is located at 80 Maple Ave, Irvington, NJ 07111. The listed phone number is (347) 742-5642.
What is Premium Residential Living 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 Premium Residential Living LLC was last updated on May 12, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 2 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.
# Premium Residential Living Llc · NPI 1841128451
Community Based Residential Treatment Facility, Intellectual and/or Developmental Disabilities organization in Irvington, New Jersey. Organization record, active in the CMS NPPES registry since May 12, 2026.
## Identity
- **NPI:** 1841128451 (Entity type: Organization)
- **Enumerated:** May 12, 2026
- **Primary specialty:** Community Based Residential Treatment Facility, Intellectual and/or Developmental Disabilities · taxonomy 320900000X
- **Organization subpart:** No
- **Authorized official:** Leslie Martinez, OWNER
## Practice location
- **Address:** 80 MAPLE AVE, Irvington, NJ 07111-4322
- **Phone:** (347) 742-5642
## Record status
- **NPPES last updated:** May 12, 2026
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Source: [NPI Profile](https://npiprofile.com/npi/1841128451) · Data from the CMS NPPES public registry.