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 1487210357

Premier Supports, LLC is an Intellectual and/or Developmental Disabilities Community Based Residential Treatment Facility in Kendall Park, 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

20 Richford Rd
Kendall Park, NJ 08824-1108
Phone: (512) 327-2325
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 number1487210357
Entity typeOrganization (Type 2)
Organization subpartNo
Authorized official Mary Rodenberg-Roberts — Vp & Sr Asst General Counsel · (952) 836-2234
NPI enumeratedMay 15, 2019
Last updated in NPPESNovember 6, 2024
Certification dateNovember 6, 2024
Mailing address6600 France Ave S Ste 350, Edina, MN 55435-1810

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