PREMIEANT INC (NPI# 1326141789) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1326141789 |
| Entity Type | Organization |
| Organization Name | PREMIEANT INC |
| Other Organization Name | PINE KNOLL |
| Practice Address |
1400 Pine Knoll Dr Austin TX 78758 |
| Mailing Address |
1110 West William Cannon Building 2 Austin TX 78745 |
| Practice Telephone | 5129161632 |
| Practice Fax Number | 5129161639 |
| Mailing Telephone | 5129161632 |
| Mailing Fax Number | 5129161639 |
| Enumeration Date | 2006-09-07 |
| Last Update Date | 2020-08-22 |
| Authorized Official Name | MR. DENNIS R LATIMER (CEO) |
| Authorized Official Telephone | 5129161632 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 315P00000X | Intermediate Care Facility, Mentally Retarded | 7804 | TX | Nursing & Custodial Care Facilities |
| Other Name | Type Code |
|---|---|
| Pine Knoll | Other Name - Individual/Organization |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1134760002 | Premieant Inc | Intermediate Care Facility, Mentally Retarded | 6402 Regency Cv, San Antonio, TX 78249-4844 | 2019-10-02 |
| 1548324692 | Premieant Inc | Custodial Care Facility | 1110 West William Cannon, Building 2, Austin, TX 78745 | 2006-12-21 |
| 1790845782 | Premieant Inc | Day Training, Developmentally Disabled Services | 1110 W William Cannon, Building 2, Austin, TX 78745 | 2006-12-11 |
| 1356409213 | Premieant Inc | Custodial Care Facility | 2021 Industrial Drive, Mcallen, TX 78504 | 2006-12-04 |
| 1871696237 | Premieant Inc | Intermediate Care Facility, Mentally Retarded | 101 Cloudview, Austin, TX 78745 | 2006-09-07 |
| 1144323502 | Premieant Inc | Intermediate Care Facility, Mentally Retarded | 1203 Echo Lane, Austin, TX 78745 | 2006-09-07 |
| 1417050873 | Premieant Inc | Intermediate Care Facility, Mentally Retarded | 7303 Daugherty, Austin, TX 78758 | 2006-09-07 |
| 1235232695 | Premieant Inc | Intermediate Care Facility, Mentally Retarded | 7509 Westgate Blvd, Austin, TX 78745 | 2006-09-07 |
| 1053414417 | Premieant Inc | Intermediate Care Facility, Mentally Retarded | 6900 Whispering Oaks, Austin, TX 78745 | 2006-09-07 |
| 1962505321 | Premieant Inc | Intermediate Care Facility, Mentally Retarded | 5444 Fairmount Circle, Austin, TX 78745 | 2006-09-07 |
| Street Address |
1400 PINE KNOLL DR |
| City | AUSTIN |
| State | TX |
| Zip Code | 78758 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1225644065 | Seton Family of Doctors | Internal Medicine | 3001 Palm Way, D1 : 134-138, Austin, TX 78758 | 2020-09-17 |
| 1083243661 | Donna Bella Laurel Portillo | Pharmacist | 12221 N Mopac Expwy, Austin, TX 78758 | 2020-04-05 |
| 1881249092 | Elizabeth Logan Anderson | Behavioral Analyst | 2100 Kramer Ln., Suite 150, Austin, TX 78758 | 2019-08-05 |
| 1295388502 | Bridget Sue Morgan | Behavioral Analyst | 2100 Kramer Ln #150, Austin, TX 78758 | 2019-07-17 |
| 1508326885 | Jonathan James Runnels | Anesthesiologist Assistant | 12221n Mopac, Austin, TX 78758 | 2019-03-22 |
| 1427527324 | Nayely Gutierrez | Dietitian, Registered | 8606 Delaware Ct, Austin, TX 78758 | 2018-11-20 |
| 1720569635 | Shari Wright | Licensed Vocational Nurse | 12349 Metric Blvs # 425, Austin, TX 78758 | 2018-08-28 |
| 1528545456 | Alexis N Bongiorno | Registered Nurse | 11901 Hobby Horse Court, 1516, Austin, TX 78758 | 2018-07-24 |
| 1679072573 | Lori Scott | Counselor | 1600 Payton Gin Road, Austin, TX 78758 | 2018-02-06 |
| 1003322488 | Lisa Robyn Lee | Behavior Technician | 2018 W Rundberg Ln, #13d, Austin, TX 78758 | 2017-12-20 |
| Find all providers in zip 78758 | ||||
| Taxonomy Code | 315P00000X |
| Grouping | Nursing & Custodial Care Facilities |
| Classification | Intermediate Care Facility, Mentally Retarded |
| (1) A public institution for care of the mentally retarded or people with related conditions. (2) An institution giving active treatment to mentally retarded or developmentally disabled persons or persons with related conditions. The primary purpose of the institution is to provide health or rehabilitative services to such individuals. |
| Notes: Sources: (1) Lexikon: Dictionary of Health Care Terms, Organizations and Acronyms for the Era of Reform, Joint Commission on Accreditation of Healthcare Organizations, Oakbrook Terrace, IL: 1994, p. 403 (2) Paraphrased from Code of Federal Regulations #42, Public Health, Section 440.150(c). |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1336560333 | Rem Woodvale, Inc. Cottonwood | Intermediate Care Facility, Mentally Retarded | 2311 9th Avenue Sw, Austin, MN 55912 | 2013-12-18 |
| 1235566076 | Educare Community Living Corporation - Texas | Intermediate Care Facility, Mentally Retarded | 6100 Blarwood Dr, Austin, TX 78745-3445 | 2013-10-10 |
| 1952738791 | Educare Community Living Corporation - Texas | Intermediate Care Facility, Mentally Retarded | 11403 Boothill Dr, Austin, TX 78748-1858 | 2013-10-10 |
| 1316374150 | Educare Community Living Corporation - Texas | Intermediate Care Facility, Mentally Retarded | 7906 Appomattox Dr, Austin, TX 78745-6902 | 2013-10-10 |
| 1336576172 | Educare Community Living Corporation - Texas | Intermediate Care Facility, Mentally Retarded | 3319 Grasshopper Dr, Austin, TX 78748-5629 | 2013-10-10 |
| 1154758324 | Educare Community Living Corporation - Texas | Intermediate Care Facility, Mentally Retarded | 10202 Brantley Cv, Austin, TX 78748-1207 | 2013-10-03 |
| 1508293770 | Educare Community Living Corporation - Texas | Intermediate Care Facility, Mentally Retarded | 7507 Whistlestop Dr, Austin, TX 78749-2826 | 2013-10-03 |
| 1598192767 | Educare Community Living Corporation - Texas | Intermediate Care Facility, Mentally Retarded | 1402 Salem Meadow Cir, Austin, TX 78745-2912 | 2013-10-03 |
| 1588974307 | D&s Residential Services Lp | Intermediate Care Facility, Mentally Retarded | 1122 S. Capital of Texas Hwy, Ste.350, Austin, TX 78746 | 2010-10-14 |
| 1417283326 | Brenda's Support Services | Intermediate Care Facility, Mentally Retarded | 814 Sheraton Ave, Austin, TX 78745-2044 | 2009-10-27 |
| Find all providers in AUSTIN | ||||
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| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.