Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
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Premier Supports, LLC

Organization Intellectual and/or Developmental Disabilities Community Based Residential Treatment Facility · NPI 1104483213

Premier Supports, LLC is an Intellectual and/or Developmental Disabilities Community Based Residential Treatment Facility in Bridgewater, New Jersey. Registered with an NPI since 2019.

In the registry since
2019
What do these letters mean?
LLC — Limited liability company
A form of business registration, not a clinical qualification.

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Practice location Address checks out

190A Finderne Ave
Bridgewater, NJ 08807-3038
Phone: (512) 628-1553
Fax: (512) 628-1553
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Intellectual and/or Developmental Disabilities Community Based Residential Treatment Facility (primary) Taxonomy 320900000X

Record details

NPI number1104483213
Entity typeOrganization (Type 2)
Organization subpartNo
Authorized official Mary Rodenberg-Roberts — Vp & Sr Asst General Counsel · (952) 836-2234
NPI enumeratedMay 23, 2019
Last updated in NPPESNovember 13, 2024
Certification dateNovember 13, 2024
Mailing address6600 France Ave S Ste 350, Edina, MN 55435-1810

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