PREMIENT INC NPI 1467563536

NPI Information

  • NPI: 1467563536
  • Provider Name: PREMIENT INC
  • Classification: Intermediate Care Facility, Intellectual Disabilities - 315P00000X
  • Entity Type: Organization
  • Other Name: ROSS HOUSE
  • Address: 3215 WESTERN DRIVE
    AUSTIN, TX
    ZIP 78748
  • Phone: (512) 916-1632

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NPI Details

PREMIENT INC is an intermediate care facility mentally retarded in Austin, TX. The provider is an intermediate care facility providing services for individuals with intellectual disabilities. PREMIENT INC NPI is 1467563536. The provider is registered as an organization entity type.
The provider Other Name Is Ross House.

The provider's business location address is:

3215 WESTERN DRIVE
AUSTIN, TX
ZIP 78748
Phone: (512) 916-1632
Fax: (512) 916-1639

The provider's authorized official is Dennis R Latimer .
The authorized official title is Ceo and has the following contact phone number (512) 916-1632.

The enumeration date for this NPI number is 8/31/2006 and was last updated on 8/22/2020.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No. Taxonomy Code Taxonomy Clasification Taxonomy Specialization License Number License State Primary
1315P00000XIntermediate Care Facility, Intellectual Disabilities7611TEXASYes

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 3/30/2025

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