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

Premium Residential LLC

Organization Mental Illness Community Based Residential Treatment Facility · NPI 1235859869

Premium Residential LLC is a Mental Illness Community Based Residential Treatment Facility in Casa Grande, Arizona. Registered with an NPI since 2022.

In the registry since
2022
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

3545 N Cinnabar Pl
Casa Grande, AZ 85122
Phone: (346) 754-4511
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Mental Illness Community Based Residential Treatment Facility (primary) Taxonomy 320800000X

Record details

NPI number1235859869
Entity typeOrganization (Type 2)
Organization subpartNo
Authorized official Kesiena Eruotor — Administrator · (346) 754-4511
NPI enumeratedSeptember 1, 2022
Last updated in NPPESAugust 3, 2026
Certification dateAugust 3, 2026
Mailing address3545 N Cinnabar Pl, Casa Grande, AZ 85122

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