PREMIER SUPPORTS, LLC (NPI# 1104483213) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
Nation Provider ID (NPI) | 1104483213 |
Entity Type | Organization |
Organization Name | PREMIER SUPPORTS, LLC |
Practice Address |
190a Finderne Ave Bridgewater NJ 08807-3038 |
Mailing Address |
8911 N. Capital of Texas Hwy Bldg. 1, Ste. 1300 Austin TX 78759 |
Practice Telephone | 5126281553 |
Practice Fax Number | 5126281553 |
Mailing Telephone | 5126281553 |
Mailing Fax Number | 5126281553 |
Enumeration Date | 2019-05-23 |
Last Update Date | 2019-05-23 |
Authorized Official Name | ROBERT HAM (CHIEF COMPLIANCE OFFICER) |
Authorized Official Telephone | 5123272325 |
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 |
---|---|---|---|---|
1831717644 | Premier Supports, LLC | Community Based Residential Treatment, Mental Retardation and/or Developmental Disabilities | 115 New Rd, Kendall Park, NJ 08824-1132 | 2020-07-08 |
1033749601 | Premier Supports, LLC | Day Training, Developmentally Disabled Services | 155 Pierce St, Somerset, NJ 08873-4168 | 2020-01-22 |
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 |
190A FINDERNE AVE |
City | BRIDGEWATER |
State | NJ |
Zip Code | 08807-3038 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1801403175 | Visions and Pathways | Counselor | 49 Brahma Avenue, Bridgewater, NJ 08807 | 2020-09-30 |
1689215600 | An Angel At Hand Inc. | Case Manager/Care Coordinator | 1200 Us Highway 22 East Suite 2000, Bridgewater, NJ 08807 | 2019-10-01 |
1407407877 | Advanced Dental Care At Bridgewater LLC | Clinic/Center | 678 Us 206 Building 5 Unit 8, Bridgewater, NJ 08807 | 2019-09-26 |
1619525201 | Marian Basaly | Pharmacist | 353 Us-202 #206, Bridgewater Township, NJ 08807 | 2019-08-28 |
1316509169 | Ashtin Elizabeth Helmer | Physician Assistant | 766 Us-206, Bridgewater Township, NJ 08807 | 2019-07-02 |
1770142770 | Lisa Farrington-rankins | Case Manager/Care Coordinator | 1200 Us Highway 22 Ste 2000, Bridgewater, NJ 08807 | 2019-06-12 |
1841753506 | Nj Support Services, LLC | Community/Behavioral Health | 726 Route 202 South, Suite 320-107, Bridgewater, NJ 08807 | 2019-04-10 |
1518434562 | Alyssa Olsen | Occupational Therapist | 377 Union Avenue, Bridgwater, NJ 08807 | 2018-10-29 |
1689151136 | Ask Transportation Services LLC | Non-emergency Medical Transport (VAN) | 991 Highway 22, Suite 200, Bridgewater, NJ 08807 | 2018-07-26 |
1114427069 | Jamie On Optometry LLC | Optometrist | Lenscrafters At Macys, 400 Commons Way, Bridgewater, NJ 08807 | 2018-02-16 |
Find all providers in zip 08807 |
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 |
---|---|---|---|---|
1437716545 | Premier Supports, LLC | Community Based Residential Treatment, Mental Retardation and/or Developmental Disabilities | 190b Finderne Ave, Bridgewater, NJ 08807-3038 | 2019-05-23 |
1497244099 | Advoserv of New Jersey, Inc. | Community Based Residential Treatment, Mental Retardation and/or Developmental Disabilities | 112 Branch Rd, Bridgewater, NJ 08807-2115 | 2018-05-09 |
1376050443 | Keystone Community Living, Inc. | Community Based Residential Treatment, Mental Retardation and/or Developmental Disabilities | 44 Fairmount Ave, Bridgewater, NJ 08807-3156 | 2018-01-10 |
1083121065 | A.w. Holdings, LLC | Community Based Residential Treatment, Mental Retardation and/or Developmental Disabilities | 946 7th Ave, Bridgewater, NJ 08807-3748 | 2017-12-29 |
1952818940 | A.w. Holdings, LLC | Community Based Residential Treatment, Mental Retardation and/or Developmental Disabilities | 950 7th Ave, Bridgewater, NJ 08807-3718 | 2017-12-29 |
1295242287 | A.w. Holdings, LLC | Community Based Residential Treatment, Mental Retardation and/or Developmental Disabilities | 13 Thruway Dr, Bridgewater, NJ 08807-1640 | 2017-12-29 |
1831606821 | A.w. Holdings, LLC | Community Based Residential Treatment, Mental Retardation and/or Developmental Disabilities | 4008 Riddle Ct, Bridgewater, NJ 08807-5558 | 2017-12-29 |
1326554338 | A.w. Holdings, LLC | Community Based Residential Treatment, Mental Retardation and/or Developmental Disabilities | 201 Helfreds Lndg, Bridgewater, NJ 08807-1552 | 2017-12-28 |
1104343938 | The Arc of Somerset County | Community Based Residential Treatment, Mental Retardation and/or Developmental Disabilities | 18 4th Ave Apt 1, Bridgewater, NJ 08807-2004 | 2017-08-23 |
1639696552 | The Arc of Somerset County | Community Based Residential Treatment, Mental Retardation and/or Developmental Disabilities | 18 4th Ave Apt 2, Bridgewater, NJ 08807-2004 | 2017-08-23 |
Find all providers in BRIDGEWATER |
City | BRIDGEWATER |
Zip Code | 08807 |
Please comment or provide details below to improve the information on PREMIER SUPPORTS, LLC.
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.