PREMIUM NATION ENTERPRISE LLC NPI 1619854346

NPI Information

NPI: 1619854346
Provider Name: PREMIUM NATION ENTERPRISE LLC
Classification: Day Training, Developmentally Disabled Services - 251C00000X
Entity Type: Organization
:
Address: 20226 CHULA VISTA DR
CYPRESS, TX
ZIP 77433
Phone: (281) 905-4487

Map and Directions

Get Directions

NPI Details

PREMIUM NATION ENTERPRISE LLC is a day training developmentally disabled services in Cypress, TX. The provider is these agencies are authorized to provide day habilitation services to developmentally disabled individuals who live in their homes. The function of day habilitation is to assist an individual to acquire and maintain those life skills that enable the individual to cope more effectively with the demands of independent living. Also to raise the level of the individual's physical, mental, social, and vocational functioning. PREMIUM NATION ENTERPRISE LLC NPI is 1619854346. The provider is registered as an organization entity type.
The provider .

The provider's business location address is:

20226 CHULA VISTA DR
CYPRESS, TX
ZIP 77433-352
Phone: (281) 905-4487

The provider's authorized official is Chelkie Douglas .
The authorized official title is Owner and has the following contact phone number (281) 905-4487.

The enumeration date for this NPI number is 8/15/2025 and was last updated on 8/16/2025.

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	Primary
1	251S00000X	Community/Behavioral Health		No
2	253Z00000X	In Home Supportive Care		No
3	261QA0600X	Clinic/Center	Adult Day Care	No
4	261QD1600X	Clinic/Center	Developmental Disabilities	No
5	261QM0801X	Clinic/Center	Mental Health (Including Community Mental Health Center)	No
6	261QM0850X	Clinic/Center	Adult Mental Health	No
7	3104A0630X	Assisted Living Facility	Assisted Living, Behavioral Disturbances	No
8	315P00000X	Intermediate Care Facility, Intellectual Disabilities		No
9	320600000X	Residential Treatment Facility, Intellectual and/or Developmental Disabilities		No
10	320800000X	Community Based Residential Treatment Facility, Mental Illness		No
11	251C00000X	Day Training, Developmentally Disabled Services		Yes

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: 11/21/2025

NPI Synchronization or Removal

All materials and services on this site are provided on an "as is" and "as available" basis without warranty of any kind. The NPI record is maintained by the National Plan & Provider Enumeration System (NPPES) and anyone may request this information and other NPPES health care provider data from HHS under The Freedom of Information Act (FOIA), Title 5 of the United States Code, section 552. To update the NPI records please contact the NPPES.

Previous NPI

Next NPI