PREMIER LIVING SOLUTIONS LLC
NPI 1912608274
Community Based Residential Treatment Facility, Intellectual and/or Developmental Disabilities in Florissant, MO

Active since March 14, 2023
160 BROWER DR, FLORISSANT, MO 63031(314) 443-1295 Get Directions Write a Review

NPPES record last updated: March 14, 2023. Verified against the NPPES registry weekly; last sync: July 19, 2026.

  • Organization
  • Community Based Residential Treatment Fa...

About PREMIER LIVING SOLUTIONS LLC

This page provides the complete NPI Profile along with additional information for Premier Living Solutions Llc, a provider established in Florissant, Missouri operating as a Community Based Residential Treatment Facility, Intellectual And/or Developmental Disabilities. The healthcare provider is registered in the NPI registry with number 1912608274 assigned on March 2023. The practitioner's primary taxonomy code is 320900000X. The provider is registered as an organization and their NPI record was last updated 3 years ago. The authorized official of this NPI record is Mr. Charles Lamar Wilson (Partner)

NPI
1912608274 Verify this NPI
Provider Name
PREMIER LIVING SOLUTIONS LLC
Entity Type
Organization
Location Address
160 BROWER DR FLORISSANT, MO 63031
Location Phone
(314) 443-1295
Mailing Address
160 BROWER DR FLORISSANT, MO 63031
Is Sole Proprietor?
No
Is Organization Subpart?
No
Enumeration Date
03-14-2023
Last Update Date
03-14-2023
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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

MR. CHARLES LAMAR WILSON

Authorized Official Title
PARTNER
Authorized Official Phone
(314) 443-6870

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Frequently Asked Questions

The NPI number assigned to this healthcare provider is 1912608274, enumerated as an "organization" on March 14, 2023.

The provider is located at 160 BROWER DR FLORISSANT, MO 63031 and the phone number is (314) 443-1295.

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