PREMIER SUPPORTS, LLC (NPI# 1831717644) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1831717644 |
| Entity Type | Organization |
| Organization Name | PREMIER SUPPORTS, LLC |
| Practice Address |
115 New Rd Kendall Park NJ 08824-1132 |
| Mailing Address |
8911 N. Capital of Texas Hwy Bldg. 1, Ste. 1300 Austin TX 78759 |
| Practice Telephone | 5123272325 |
| Mailing Telephone | 5123272325 |
| Enumeration Date | 2020-07-08 |
| Last Update Date | 2020-07-08 |
| Authorized Official Name | MICKEY ATKINS (PRESIDENT/CEO) |
| Authorized Official Telephone | 5126281518 |
| Is Organization Subpart | Y |
| Parent Organization Name | D&S RESIDENTIAL HOLDINGS, LLC |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 320900000X | Community Based Residential Treatment, Mental Retardation and/or Developmental Disabilities | Residential Treatment Facilities |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1033749601 | Premier Supports, LLC | Day Training, Developmentally Disabled Services | 155 Pierce St, Somerset, NJ 08873-4168 | 2020-01-22 |
| 1104483213 | Premier Supports, LLC | Community Based Residential Treatment, Mental Retardation and/or Developmental Disabilities | 190a Finderne Ave, Bridgewater, NJ 08807-3038 | 2019-05-23 |
| 1437716545 | Premier Supports, LLC | Community Based Residential Treatment, Mental Retardation and/or Developmental Disabilities | 190b Finderne Ave, Bridgewater, NJ 08807-3038 | 2019-05-23 |
| 1316503287 | Premier Supports, LLC | Community Based Residential Treatment, Mental Retardation and/or Developmental Disabilities | 7 Cranston Rd, Kendall Park, NJ 08824-1115 | 2019-05-15 |
| 1285291328 | Premier Supports, LLC | Community Based Residential Treatment, Mental Retardation and/or Developmental Disabilities | 100 Randolph Rd, Somerset, NJ 08873-1384 | 2019-05-23 |
| 1932766078 | Premier Supports, LLC | Community Based Residential Treatment, Mental Retardation and/or Developmental Disabilities | 87 Finderne Ave, Bridgewater, NJ 08807-3100 | 2019-05-23 |
| 1487211595 | Premier Supports, LLC | Community Based Residential Treatment, Mental Retardation and/or Developmental Disabilities | 53 Robbins Rd, Branchburg, NJ 08876-3710 | 2019-05-23 |
| 1922665033 | Premier Supports, LLC | Community Based Residential Treatment, Mental Retardation and/or Developmental Disabilities | 566 Foothill Rd, Bridgewater, NJ 08807-2131 | 2019-05-23 |
| 1831756949 | Premier Supports, LLC | Community Based Residential Treatment, Mental Retardation and/or Developmental Disabilities | 444 Country Club Rd, Bridgewater, NJ 08807-2404 | 2019-05-23 |
| 1740847854 | Premier Supports, LLC | Community Based Residential Treatment, Mental Retardation and/or Developmental Disabilities | 90 Bernard St, Branchburg, NJ 08876-3702 | 2019-05-23 |
| Street Address |
115 NEW RD |
| City | KENDALL PARK |
| State | NJ |
| Zip Code | 08824-1132 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1801496872 | Laura Funk | Physical Therapist | 3562 Route 27, Suite 124, Kendall Park, NJ 08824 | 2020-10-29 |
| 1639660178 | Megan Patterson, LLC | Social Worker | 3176 Nj Route 27, Suite 2b, Kendall Park, NJ 08824 | 2018-05-21 |
| 1073032363 | Mosaic Impex Inc | Occupational Therapy Assistant | 45 Hastings Road, Kendall Park, NJ 08824 | 2017-09-18 |
| 1497293708 | Nicholas Andrew Demetriou | Specialist/Technologist | 13 Dillon Road, Kendall Park, NJ 08824 | 2017-02-07 |
| 1780031054 | Community Options Enterprises, Inc | Day Training, Developmentally Disabled Services | 3330 Highway 27, Kendall Park, NJ 08824 | 2016-05-17 |
| 1013363779 | Dungarvin New Jersey, LLC-dawson | Community Based Residential Treatment, Mental Retardation and/or Developmental Disabilities | 12 Dawson Rd, Kendall Park, NJ 08824 | 2016-05-11 |
| 1538515390 | Dungarvin New Jersey, LLC-berwick | Community Based Residential Treatment, Mental Retardation and/or Developmental Disabilities | 19 Berwick Rd, Kendall Park, NJ 08824 | 2016-05-11 |
| 1912388471 | Dungarvin New Jersey, LLC-cranston | Community Based Residential Treatment, Mental Retardation and/or Developmental Disabilities | 30 Cranston Rd, Kendall Park, NJ 08824 | 2015-06-10 |
| 1184017469 | Suk-ying Wang | Clinical Nurse Specialist | 3270 Route 27 Suite 1200, Kendall Park, NJ 08824 | 2015-03-11 |
| 1386980100 | Payal Shah | Pharmacist | 27 Villanova Drive, Kendall Park, NJ 08824 | 2012-12-26 |
| Find all providers in zip 08824 | ||||
| Taxonomy Code | 320900000X |
| Grouping | Residential Treatment Facilities |
| Classification | Community Based Residential Treatment, Mental Retardation and/or Developmental Disabilities |
| A home-like residential facility providing habilitation, support and monitoring services to individuals diagnosed with mental retardation and/or developmental disabilities. |
| Notes: [7/1/2003: new] |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1316503287 | Premier Supports, LLC | Community Based Residential Treatment, Mental Retardation and/or Developmental Disabilities | 7 Cranston Rd, Kendall Park, NJ 08824-1115 | 2019-05-15 |
| 1922525955 | Dungarvin New Jersey, LLC - Stockton | Community Based Residential Treatment, Mental Retardation and/or Developmental Disabilities | 18 Stockton Rd, Kendall Park, NJ 08824-1212 | 2017-08-30 |
| 1942726641 | The Arc Middlesex County | Community Based Residential Treatment, Mental Retardation and/or Developmental Disabilities | 24 Kingsley Rd, Kendall Park, NJ 08824-1147 | 2017-08-15 |
| 1669909479 | Everas Community Services, Inc. | Community Based Residential Treatment, Mental Retardation and/or Developmental Disabilities | 78 Stillwell Rd, Kendall Park, NJ 08824-1438 | 2017-05-11 |
| 1013363779 | Dungarvin New Jersey, LLC-dawson | Community Based Residential Treatment, Mental Retardation and/or Developmental Disabilities | 12 Dawson Rd, Kendall Park, NJ 08824 | 2016-05-11 |
| 1538515390 | Dungarvin New Jersey, LLC-berwick | Community Based Residential Treatment, Mental Retardation and/or Developmental Disabilities | 19 Berwick Rd, Kendall Park, NJ 08824 | 2016-05-11 |
| 1275903759 | Community Options, Inc | Community Based Residential Treatment, Mental Retardation and/or Developmental Disabilities | 38 Constable Rd, Kendall Park, NJ 08824-1153 | 2015-09-28 |
| 1184094666 | Community Options, Inc | Community Based Residential Treatment, Mental Retardation and/or Developmental Disabilities | 63 Henderson Rd, Kendall Park, NJ 08824-1506 | 2015-09-28 |
| 1467821827 | Community Options, Inc | Community Based Residential Treatment, Mental Retardation and/or Developmental Disabilities | 2 Aldrich Rd, Kendall Park, NJ 08824-1214 | 2015-09-16 |
| 1912388471 | Dungarvin New Jersey, LLC-cranston | Community Based Residential Treatment, Mental Retardation and/or Developmental Disabilities | 30 Cranston Rd, Kendall Park, NJ 08824 | 2015-06-10 |
| Find all providers in KENDALL PARK | ||||
| City | KENDALL PARK |
| Zip Code | 08824 |
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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.