Premier Community Supports, Llc.

LBN: Premier Community Supports, Llc.
Premier Community Supports, Llc. is an health care organization with primary practice located at 1439 Ne 6Th St Ste C , Grants Pass OR 97526. The organization recently has 2 registered licenses in different health care specialties including Agencies / Day Training, Developmentally Disabled Services, Residential Treatment Facilities / Community Based Residential Treatment Facility, Mental Retardation and/or Developmental Disabilities. Residential Treatment Facilities / Community Based Residential Treatment Facility, Mental Retardation and/or Developmental Disabilities is the primary health care specialty. Premier Community Supports, Llc. can be contacted via phone (541) 787-5172, or through Taylor, Josh Douglas via phone (541) 787-5172.

Contact Information

Primary practice address
1439 Ne 6Th St Ste C Grants Pass OR 97526
Phone: (541) 787-5172
Fax:
Website:
Map and Directions
Authorized official contact:
Name: Taylor, Josh Douglas
Phone: (541) 787-5172

Health care specialties

SpecialtyCodeLicense #State
Agencies / Day Training, Developmentally Disabled Services 251C00000X
Residential Treatment Facilities / Community Based Residential Treatment Facility, Mental Retardation and/or Developmental Disabilities 320900000X

Profile Details

NPI number 1700364502
LBN Legal business name Premier Community Supports, Llc.
DBA Doing business as
Authorized official Taylor, Josh Douglas
Entity Organization
Organization subpart 1 No
Enumeration date Aug 2nd, 2018
Last updated Aug 14th, 2018 - about 8 years ago

1 Some organizations, which are providing health care services, may consist of units or departments that provide different types of health care services or have several separate physical locations, where health care service is provided. These units, departments or physical locations are not themselves legal entities. However, each of them is part of the organization, which is a legal entity. The organization may decide whether its subparts, if it has any, should have their own NPI numbers. In case a subpart conducts any HIPAA standard transactions by itself, without its parent's involvement, it must have its own NPI number.

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Identifiers

StateTypeNumberIssuer
All States NPI 1700364502 NPPES
Oregon MEDICAID 103120

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