PREMIER SUPPORTS LLC NPI 1922665033

NPI Information

  • NPI: 1922665033
  • Provider Name: PREMIER SUPPORTS, LLC
  • Classification: Community Based Residential Treatment Facility, Intellectual and/or Developmental Disabilities - 320900000X
  • Entity Type: Organization
  • Address: 566 FOOTHILL RD
    BRIDGEWATER, NJ
    ZIP 08807
  • Phone: (512) 628-1553

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NPI Details

PREMIER SUPPORTS, LLC is a community based residential treatment facility, intellectual and/or developmental disabilities in Bridgewater, NJ. The provider is a home-like residential facility providing habilitation, support and monitoring services to individuals diagnosed with mental retardation and/or developmental disabilities. PREMIER SUPPORTS, LLC NPI is 1922665033. The provider is registered as an organization entity type.

The provider's business location address is:

566 FOOTHILL RD
BRIDGEWATER, NJ
ZIP 08807-131
Phone: (512) 628-1553
Fax: (512) 628-1553

The provider's authorized official is Mary Patricia Rodenberg-roberts .
The authorized official title is Vp & Sr Asst General Counsel and has the following contact phone number (952) 836-2234.

The enumeration date for this NPI number is 5/23/2019 and was last updated on 11/6/2024.

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
1320900000XCommunity Based Residential Treatment Facility, Intellectual and/or Developmental DisabilitiesYes

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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