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PREMIEANT INC
NPI 1861158123
Intermediate Care Facility, Intellectual Disabilities in San Antonio, TX

Active since November 11, 2021
12351 AUTUMN VISTA ST, SAN ANTONIO, TX 78249(512) 916-1632(512) 916-1639 Get Directions Write a Review

NPPES record last updated: November 11, 2021. Verified against the NPPES registry weekly; last sync: July 19, 2026.

About Premieant Inc NPPES

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

PREMIEANT INC (NPI 1861158123), doing business as Tanglewood Home, is a healthcare organization registered as an intermediate care facility, intellectual disabilities in San Antonio, Texas and active in the NPI registry since November 2021. The organization lists Jeffrey Engelke, President, as its authorized official.

NPPES Registry Identity

NPI1861158123
Entity TypeOrganization
Primary Taxonomy315P00000X
Legal Business NamePREMIEANT INC
Location Address12351 AUTUMN VISTA STSan Antonio, TX 78249-2405
Mailing Address1110 W William Cannon Dr Bldg 2Austin, TX 78745-5468 · (512) 916-1632 · Fax (512) 916-1639
Phone(512) 916-1632
Fax(512) 916-1639
Organization SubpartNo
Authorized OfficialJeffrey EngelkePresident · (512) 916-1632
Enumeration DateNovember 11, 2021
NPPES CertifiedOctober 27, 2021
✔ NPI 1861158123 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyIntermediate Care Facility, Intellectual DisabilitiesNursing & Custodial Care Facilities
Taxonomy Code315P00000X
Definition

An intermediate care facility providing services for individuals with intellectual disabilities.

12351 AUTUMN VISTA ST, San Antonio, TX 78249
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Other Names 1

Doing Business AsTanglewood Home

Other Identifiers 11

Medicaid1124139340TX
Medicaid1144323502TX
Medicaid1396856514TX
Medicaid1235232695TX
Medicaid1235240300TX
Medicaid1407967573TX
Medicaid1467563536TX
Medicaid1962505321TX
Medicaid1871696237TX
Medicaid1326141789TX
Medicaid1871604934TX

Other Providers at the Same Location NPPES

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

UCG CENTRAL TEXAS HOLDINGS LLC
Residential Treatment Facility, Intellectual and/or Developmental Disabilities
12351 AUTUMN VISTA ST
SAN ANTONIO, TX 78249
Bexar County (682) 707-2756

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 Premieant Inc's NPI number?

The NPI number for Premieant Inc is 1861158123. It was assigned to this organization in the NPPES registry on November 11, 2021.

Where is Premieant Inc located?

Premieant Inc is located at 12351 Autumn Vista St, San Antonio, TX 78249. The listed phone number is (512) 916-1632.

What is Premieant Inc's specialty?

The primary specialty registered for this NPI is Intermediate Care Facility, Intellectual Disabilities with taxonomy code 315P00000X.

When was this NPI record last updated?

The NPPES record for Premieant Inc was last updated on November 11, 2021. NPI Profile syncs with the weekly NPPES data releases published by CMS.