PREMIER SUPPORTS, LLC
NPI 1285291328
Community Based Residential Treatment Facility, Intellectual and/or Developmental Disabilities in Somerset, NJ

NPI Status: Active since May 23, 2019

Contact Information

100 RANDOLPH RD STE 8
SOMERSET, NJ
ZIP 08873
Phone: (512) 628-1553
Fax: (512) 628-1553

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About PREMIER SUPPORTS, LLC

This page provides the complete NPI Profile along with additional information for Premier Supports, Llc, a provider established in Somerset, New Jersey operating as a Community Based Residential Treatment Facility, Intellectual And/or Developmental Disabilities. The healthcare provider is registered in the NPI registry with number 1285291328 assigned on May 2019. The practitioner's primary taxonomy code is 320900000X. The provider is registered as an organization and their NPI record was last updated one year ago. The authorized official of this NPI record is Mary Patricia Rodenberg-roberts (Vp & Sr. Asst General Counsel)

NPI
1285291328
Provider Name
PREMIER SUPPORTS, LLC
Entity Type
Organization
Location Address
100 RANDOLPH RD STE 8 SOMERSET, NJ 08873
Location Phone
(512) 628-1553
Location Fax
(512) 628-1553
Mailing Address
6600 FRANCE AVE S STE 350 EDINA, MN 55435
Mailing Phone
(800) 388-5150
Mailing Fax
(512) 628-1553
Is Sole Proprietor?
No
Is Organization Subpart?
No
Enumeration Date
05-23-2019
Last Update Date
11-25-2024
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Specialty - Primary Taxonomy

The NPI enumerator requires providers to submit at least one taxonomy code. A taxonomy code is a unique 10-character code that describes the healthcare provider type, classification, and the area of specialization. There could be only one primary taxonomy code per NPI record. For individual NPIs the license data is associated to the taxonomy code.

Classification

Community Based Residential Treatment Facility, Intellectual and/or Developmental Disabilities

Taxonomy Code
320900000X
Type
Residential Treatment Facilities
Taxonomy Description
A home-like residential facility providing habilitation, support and monitoring services to individuals diagnosed with mental retardation and/or developmental disabilities.

Authorized Official

The authorized official is the designated individual with the legal authority to make changes to the provider’s official NPI record. For organizations, the authorized official must be a general partner, chairman of the board, CEO, CFO or a direct owner holding at least a 5 percent stake in the medical organization.

Authorized Official Name

MARY PATRICIA RODENBERG-ROBERTS

Authorized Official Title
VP & SR. ASST GENERAL COUNSEL
Authorized Official Phone
(952) 836-2234

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NPI Validation Check Digit Calculation


The following table explains the step by step NPI number validation process using the ISO standard Luhn algorithm.

Start with the original NPI number, the last digit is the check digit and is not used in the calculation.
1285291328
Step 1: Double the value of the alternate digits, beginning with the rightmost digit.
2216549234
Step 2: Add all the doubled and unaffected individual digits from step 1 plus the constant number 24.
2 + 2 + 1 + 6 + 5 + 4 + 9 + 2 + 3 + 4 + 24 = 62
Step 3: Subtract the total obtained in step 2 from the next higher number ending in zero, the result is the check digit.
70 - 62 = 88

The NPI number 1285291328 is valid because the calculated check digit 8 using the Luhn validation algorithm matches the last digit of the original NPI number.

Other Providers at the Same Location


The following 3 providers are registered at the same or nearby location.

NPI Name / Type Taxonomy Address
1265819106REM NEW JERSEY, INC.
Organization
Community Based Residential Treatment Facility, Intellectual and/or Developmental Disabilities100 RANDOLPH RD STE 8
SOMERSET, NJ 08873
(732) 627-9890
1033749601PREMIER SUPPORTS, LLC
Organization
Day Training, Developmentally Disabled Services100 RANDOLPH RD STE 8
SOMERSET, NJ 08873
(732) 627-9890
1851957559PREMIER SUPPORTS, LLC
Organization
Community Based Residential Treatment Facility, Intellectual and/or Developmental Disabilities100 RANDOLPH RD STE 8
SOMERSET, NJ 08873
(732) 627-9890

Frequently Asked Questions

The NPI number assigned to this healthcare provider is 1285291328, enumerated in the NPI registry as an "organization" on May 23, 2019

The provider is located at 100 Randolph Rd Ste 8 Somerset, Nj 08873 and the phone number is (512) 628-1553

This medical organization specializes in Community Based Residential Treatment Facility, Intellectual and/or Developmental Disabilities with taxonomy code 320900000X

This NPI record was last updated on May 23, 2019. To officially update your NPI information contact the National Plan and Provider Enumeration System (NPPES) at 1-800-465-3203 (NPI Toll-Free) or by email at [email protected].
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