Premier Supports, LLC
Community Based Residential Treatment Facility, Intellectual and/or Developmental Disabilities in Kendall Park, New Jersey
1316503287- Practice location
- 7 Cranston RD, Kendall Park, NJ 08824-1115
- Phone
- 512-327-2325
- Fax
- 512-628-1553
- Last updated
- November 6, 2024
Premier Supports, LLC is a healthcare organization based in Kendall Park, NJ. Premier Supports, LLC practices in Kendall Park, NJ. The NPI Number for Premier Supports, LLC is 1316503287. The current practice location address for Premier Supports, LLC is 7 Cranston RD, Kendall Park, NJ 08824-1115 and can be reached out via phone at 512-327-2325 and via fax at 512-628-1553.
Provider Profile Details
- NPI Number
- 1316503287
- Provider Name
- Premier Supports, LLC
- Provider Entity Type
- Organization
- Address
- 7 Cranston RD, Kendall Park, NJ 08824-1115
- Phone Number
- 512-327-2325
- Fax Number
- 512-628-1553
- Primary Taxonomy
- Community Based Residential Treatment Facility, Intellectual and/or Developmental Disabilities · 320900000X
- Organization Subpart
- No
- Authorized Official
- Mary Patricia Rodenberg-Roberts · Vp & Sr Asst General Counsel · 952-836-2234
- Provider Enumeration Date
- May 15, 2019
- Last Update Date
- November 6, 2024
- Certification Date
- November 6, 2024
- NPI Status
- Active
Provider Business Practice Location Address Details
- Address
- 7 Cranston RD
Kendall Park, NJ 08824-1115 - City
- Kendall Park
- State
- New Jersey
- Zip
- 08824-1115
- Phone Number
- 512-327-2325
- Fax Number
- 512-628-1553
Provider Business Mailing Address Details
- Address
- 6600 France Ave S Ste 350
Edina, MN 55435-1810 - City
- Edina
- State
- MN
- Zip
- 55435-1810
- Phone Number
- 800-388-5150
License Information
- Taxonomy
- Community Based Residential Treatment Facility, Intellectual and/or Developmental Disabilities · 320900000X · Primary
Legacy Identifiers
| Identifier | Type | State | Issuer |
|---|---|---|---|
| No legacy identifiers (Medicaid, Medicare or plan IDs) are on file for this provider. | |||
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Frequently Asked Questions
What is the NPI number of Premier Supports, LLC?
The NPI number of Premier Supports, LLC is 1316503287. It was assigned on May 15, 2019 and is currently active in the NPPES registry.
What is the specialty of Premier Supports, LLC?
Premier Supports, LLC is registered under the primary taxonomy Community Based Residential Treatment Facility, Intellectual and/or Developmental Disabilities (code 320900000X).
Where does Premier Supports, LLC practice?
The practice location is 7 Cranston RD, Kendall Park, NJ 08824-1115. The office can be reached at 512-327-2325 (phone) or 512-628-1553 (fax).
What is an NPI number?
A National Provider Identifier (NPI) is a unique 10-digit identification number issued to health care providers in the United States by the Centers for Medicare and Medicaid Services (CMS). It is used in HIPAA standard transactions.
How do I verify this NPI record?
This record is sourced from the public NPPES NPI Registry maintained by CMS. You can confirm it by searching NPI 1316503287 directly on the NPPES registry website.