PREMIEANT INC (NPI# 1356996896) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1356996896 |
| Entity Type | Organization |
| Organization Name | PREMIEANT INC |
| Practice Address |
12427 Autumn Vista St San Antonio TX 78249-2407 |
| Mailing Address |
1110 W William Cannon Dr Bldg 2 Austin TX 78745-5468 |
| Practice Telephone | 5129161632 |
| Practice Fax Number | 5129161639 |
| Mailing Telephone | 5129161632 |
| Mailing Fax Number | 5129161639 |
| Enumeration Date | 2019-08-01 |
| Last Update Date | 2019-08-01 |
| Authorized Official Name | JEFFREY ENGELKE (PRESIDENT) |
| Authorized Official Telephone | 5129161632 |
| Is Organization Subpart | Y |
| Parent Organization Name | PREMIEANT INC |
| 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 |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| TX | 1124139340 | 05 | |
| TX | 1396856514 | 05 | |
| TX | 1235232695 | 05 | |
| TX | 1962505321 | 05 | |
| TX | 1326141789 | 05 | |
| TX | 1467563536 | 05 | |
| TX | 1235240300 | 05 | |
| TX | 1407967573 | 05 | |
| TX | 1871604934 | 05 | |
| TX | 1871696237 | 05 | |
| TX | 1144323502 | 05 |
| 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 |
| 1326141789 | Premieant Inc | Intermediate Care Facility, Mentally Retarded | 1400 Pine Knoll Dr, 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 |
| Street Address |
12427 AUTUMN VISTA ST |
| City | SAN ANTONIO |
| State | TX |
| Zip Code | 78249-2407 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1184053084 | Educare Community Living Corporation - Texas | Intermediate Care Facility, Mentally Retarded | 12427 Autumn Vista St, San Antonio, TX 78249-2407 | 2013-11-01 |
| 1417505124 | Premieant Inc | Intermediate Care Facility, Mentally Retarded | 12427 Autumn Vista St, San Antonio, TX 78249-2407 | 2019-08-27 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1184222663 | Zachary Mitchell Kimo Mitsui | Specialist/Technologist | 7311 Bluestone Rd, San Antonio, TX 78249 | 2020-10-15 |
| 1538770839 | Go Operations 3 LLC | Skilled Nursing Facility | 4366 Lockhill Selma, Shavano, TX 78249 | 2020-08-11 |
| 1417566548 | Heenaben Jayantilal Rathod | Registered Nurse | 5803 Utsa Blvd, Apt #2101, San Antonio, TX 78249 | 2020-07-24 |
| 1306455530 | Z-pediatrics Pllc | Pediatrics | 5886 Dezavala Rd Suite 101 #510, San Antonio, TX 78249 | 2020-07-23 |
| 1568080497 | San Antonio Wisdom Teeth, Pllc | Dentist | 13535 Hausman Pass #102-a, San Antonio, TX 78249 | 2020-07-07 |
| 1265071203 | Caralyne Sandquist | Physician Assistant | 5510 Presidio Parkway, Building #2 Suite 2401, San Antonio, TX 78249 | 2019-12-21 |
| 1104472935 | Adam J Gordon | Social Worker | 6363 Dezavala Rd, San Antonio, TX 78249 | 2019-08-16 |
| 1336700582 | Michael Leland Post | Specialist/Technologist | 5150 Dezavala, San Antonio, TX 78249 | 2019-06-27 |
| 1043788722 | Stephen John Reynolds | Counselor | 5907 Trent Rnch, San Antonio, TX 78249 | 2018-11-11 |
| 1396211504 | Christina Michelle Morales | Specialist/Technologist | 4533 N Loop 1604 E, Ste 1119, San Antonio, TX 78249 | 2018-10-16 |
| Find all providers in zip 78249 | ||||
| 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 |
|---|---|---|---|---|
| 1457999849 | Eri Industries, LLC, Dba Eri Group Homes | Community Based Residential Treatment, Mental Retardation and/or Developmental Disabilities | 2300 W. Commerce#216, San Antonio, TX 78207 | 2019-12-16 |
| 1538719463 | Agape 4 You,llc | Community Based Residential Treatment, Mental Retardation and/or Developmental Disabilities | 9122 Bowen Br, San Antonio, TX 78254-1914 | 2019-09-12 |
| 1811468960 | Integrity Healthcare Inc | Community Based Residential Treatment, Mental Retardation and/or Developmental Disabilities | 8815 Burgandy, San Antonio, TX 78240-3529 | 2018-12-16 |
| 1083185607 | Lovinglyhome LLC | Community Based Residential Treatment, Mental Retardation and/or Developmental Disabilities | 12419 Horse Cres, San Antonio, TX 78254-6087 | 2018-12-07 |
| 1396229456 | Supported Services LLC | Community Based Residential Treatment, Mental Retardation and/or Developmental Disabilities | 18911 Hardy Oak Blvd Ste 164, San Antonio, TX 78258-4967 | 2018-09-24 |
| 1821580481 | Mi Amor Home & Community Services, LLC | Community Based Residential Treatment, Mental Retardation and/or Developmental Disabilities | 8151 Broadway St, San Antonio, TX 78209-1995 | 2018-05-30 |
| 1568983385 | Enchantment Living Hhc LLC | Community Based Residential Treatment, Mental Retardation and/or Developmental Disabilities | 5927 Iris Isle, San Antonio, TX 78218-3091 | 2017-07-01 |
| 1871037135 | Glen Oaks Health Care Services LLC | Community Based Residential Treatment, Mental Retardation and/or Developmental Disabilities | 5822 Royal Hvn, San Antonio, TX 78239-1407 | 2016-12-06 |
| 1174978548 | Great Life Services, LLC | Community Based Residential Treatment, Mental Retardation and/or Developmental Disabilities | 6534 Candlecane Cir, San Antonio, TX 78244-1914 | 2016-05-04 |
| 1528435880 | Come Home - Victor's House | Community Based Residential Treatment, Mental Retardation and/or Developmental Disabilities | 2522 Hollyhill Dr, San Antonio, TX 78222-1352 | 2015-08-21 |
| Find all providers in SAN ANTONIO | ||||
| City | SAN ANTONIO |
| Zip Code | 78249 |
Please comment or provide details below to improve the information on PREMIEANT INC.
| 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.