PREMIEANT INC NPI 1861158123

NPI Information

NPI: 1861158123
Provider Name: PREMIEANT INC
Classification: Intermediate Care Facility, Intellectual Disabilities - 315P00000X
Entity Type: Organization
Address:
12351 AUTUMN VISTA ST
SAN ANTONIO, TX
ZIP 78249
Phone: (512) 916-1632
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PREMIEANT INC is an intermediate care facility mentally retarded in San Antonio, TX. The provider is an intermediate care facility providing services for individuals with intellectual disabilities. PREMIEANT INC NPI is 1861158123. The provider is registered as an organization entity type.

The provider's business location address is:

12351 AUTUMN VISTA ST
SAN ANTONIO, TX
ZIP 78249-405
Phone: (512) 916-1632
Fax: (512) 916-1639

The provider's authorized official is Jeffrey Engelke .
The authorized official title is President and has the following contact phone number (512) 916-1632.

The enumeration date for this NPI number is 11/11/2021 and was last updated on 11/11/2021.

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
1	315P00000X	Intermediate Care Facility, Intellectual Disabilities				Yes

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No.	Other Provider Identifier	Other Provider Identifier Type	Other Provider Identifier State
1	1124139340	MEDICAID	TEXAS
2	1144323502	MEDICAID	TEXAS
3	1396856514	MEDICAID	TEXAS
4	1235232695	MEDICAID	TEXAS
5	1235240300	MEDICAID	TEXAS
6	1407967573	MEDICAID	TEXAS
7	1467563536	MEDICAID	TEXAS
8	1962505321	MEDICAID	TEXAS
9	1871696237	MEDICAID	TEXAS
10	1326141789	MEDICAID	TEXAS
11	1871604934	MEDICAID	TEXAS

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: 4/28/2024

NPI Synchronization or Removal

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