Premier Community Supports, LLC.
Community Based Residential Treatment Facility, Mental Retardation and/or Developmental Disabilities

Address: 1439 Ne 6th St Ste C, Grants Pass, OR 97526
Phone: 5417875172

Premier Community Supports, LLC. (NPI# 1700364502) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).

Provider Overview

Nation Provider Identifier (NPI) 1700364502
Entity Type Organization
Organization Name PREMIER COMMUNITY SUPPORTS, LLC.
Practice Address 1439 Ne 6th St Ste C
Grants Pass
OR 97526
Practice Telephone 5417875172
Mailing Address 521 Ne Dean Dr
Grants Pass
OR 97526-2230
Mailing Telephone 5417875172
Authorized Official Name Mr. Josh Douglas Taylor (OWNER)
Authorized Official Telephone 5417875172
Organization Subpart No, this organization is not a Subpart
Enumeration Date 2018-08-02
Last Update Date 2018-08-14

Taxonomy Codes

Primary Taxonomy Classification Taxonomy Group License Number State
No 251C00000X Day Training, Developmentally Disabled Services Agencies
Yes 320900000X Community Based Residential Treatment Facility, Mental Retardation and/or Developmental Disabilities Residential Treatment Facilities

Other Provider Identifier

State Identifier Issuer Type Code
OR 103120 MEDICAID

Taxonomy Information

Taxonomy Code 320900000X
Grouping Residential Treatment Facilities
Classification Community Based Residential Treatment Facility, Mental Retardation and/or Developmental Disabilities

Taxonomy Definition

A home-like residential facility providing habilitation, support and monitoring services to individuals diagnosed with mental retardation and/or developmental disabilities.
Notes: [7/1/2003: new]

Providers in the same taxonomy and state

NPI Name Taxonomy Address Enumeration
1750907960 Tandem Northwest, Inc. Community Based Residential Treatment Facility, Mental Retardation and/or Developmental Disabilities 348 Dennis Ln N, Keizer, OR 97303-5936 2020-06-23
1184240558 Community Access Services II, Inc. Community Based Residential Treatment Facility, Mental Retardation and/or Developmental Disabilities 1815 Nw 169th Pl Ste 1060, Beaverton, OR 97006-7365 2020-06-22
1134619752 Asd Stepping Stones To Success Community Based Residential Treatment Facility, Mental Retardation and/or Developmental Disabilities 91145 N Willamette St Ste 8211, Coburg, OR 97408-9700 2018-05-18
1669864724 Visions LLC Community Based Residential Treatment Facility, Mental Retardation and/or Developmental Disabilities 30 E Broadway Ste 100, Eugene, OR 97401-3175 2015-02-26
1417375270 Educational Training Program Inc. Community Based Residential Treatment Facility, Mental Retardation and/or Developmental Disabilities 15420 Forsythe Rd, Oregon City, OR 97045-8742 2014-03-30
1023356391 Trust Home Healthcare LLC Community Based Residential Treatment Facility, Mental Retardation and/or Developmental Disabilities 10706 Sw Capitol Hwy Apt 58, Portland, OR 97219-6880 2013-01-22
1255678157 Renew Consulting, Inc. Community Based Residential Treatment Facility, Mental Retardation and/or Developmental Disabilities 1555 Post St, Lebanon, OR 97355-4060 2013-01-11
1881931798 Renew Consulting, Inc. Community Based Residential Treatment Facility, Mental Retardation and/or Developmental Disabilities 3415 Columbia View Dr, The Dalles, OR 97058-9703 2013-01-11
1255676078 Renew Consulting, Inc Community Based Residential Treatment Facility, Mental Retardation and/or Developmental Disabilities 8129 Sw 168th Ave, Beaverton, OR 97007-6504 2012-12-05
1285978569 Renew Consulting, Inc. Community Based Residential Treatment Facility, Mental Retardation and/or Developmental Disabilities 704 38th Ave Se, Albany, OR 97322-3807 2012-11-27
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Office Location

Street Address 1439 NE 6TH ST STE C
City GRANTS PASS
State OR
Zip Code 97526

Providers in the same zip code

NPI Name Taxonomy Address Enumeration
1205476777 Kyla M Mccormick Peer Specialist 109 Nw Manzanita Avenue, Grants Pass, OR 97526 2020-01-13
1164076469 Alicia Yvonne Hansen Counselor 1055 Clarey St., Grants Pass, OR 97526 2019-07-25
1841842598 Michael Liam Reynolds, Dds, LLC Dentist 984 Ne 8th Street, Grants Pass Oregon, Grants Pass, OR 97526 2019-07-12
1881254746 Brandi Mccrorey Counselor 418 Ne 6th Street, Suite 102, Grants Pass, OR 97526 2019-06-13
1821584509 Stefani Mcintyre Massage Therapist 1590 Se N Street, Warehouse #1574, Grants Pass, OR 97526 2018-07-06
1114467438 Sandra P Martin Chiropractor 333 Sw 5th St. Suite B, Grants Pass, OR 97526 2017-03-06
1801347612 Maci Wageman Counselor 1215 Sw G St Grants Pass Oregon 97526, Grants Pass, OR 97526 2016-10-17
1902353907 Optimal Health of Southern Oregon, LLC Family Medicine 1600 Nw 6th St South Suite, Grants Pass, OR 97526 2016-09-07
1982150793 Tanya White Counselor 402 Nw Fstreet, Grants Pass, OR 97526 2016-08-31
1871968602 Jeffrey A Christophersen Counselor 109 Nw Manzanita Ave, Grants Pass, OR 97526 2015-12-04
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Competitor

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City GRANTS PASS
Zip Code 97526

Improve Information

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Dataset Information

Data Provider Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES)
Jurisdiction Medicare & Medicaid

This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.