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

Premium Residential Living LLC

Organization Intellectual and/or Developmental Disabilities Community Based Residential Treatment Facility · NPI 1841128451

Premium Residential Living LLC is an Intellectual and/or Developmental Disabilities Community Based Residential Treatment Facility in Irvington, New Jersey. Registered with an NPI since 2026.

In the registry since
2026
What do these letters mean?
LLC — Limited liability company
A form of business registration, not a clinical qualification.

See every abbreviation used in this directory →

Claim this listing Report a problem Suggest an edit

Practice location Address checks out

80 Maple Ave
Irvington, NJ 07111-4322
Phone: (347) 742-5642
Show map & directions

Directions in Google Maps · Apple Maps · OpenStreetMap

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 number1841128451
Entity typeOrganization (Type 2)
Organization subpartNo
Authorized official Leslie Martinez — Owner · (347) 742-5642
NPI enumeratedMay 12, 2026
Last updated in NPPESMay 12, 2026
Certification dateMay 12, 2026
Mailing address80 Maple Ave, Irvington, NJ 07111-4322

Other providers in Irvington