A PREMIER LIVING CARE CENTER LLC – NPI #1295429918
Community Based Residential Treatment Facility, Intellectual and/or Developmental Disabilities

A home-like residential facility providing habilitation, support and monitoring services to individuals diagnosed with intellectual and/or developmental disabilities.

Health Care Provider Taxonomy Code for Community Based Residential Treatment Facility, Intellectual and/or Developmental Disabilities

A PREMIER LIVING CARE CENTER LLC is a community based residential treatment facility located in JACKSONVILLE, FL. NPPES has assigned the NPI number 1295429918 to A PREMIER LIVING CARE CENTER LLC on June 06, 2023. It is a Type-2 NPI, indicating this NPI number is associated with an organization. The primary taxonomy selected by this provider is 320900000X from the Health Care Provider Taxonomy code set, which is classified as Community Based Residential Treatment Facility, Intellectual and/or Developmental Disabilities.

Use the NPI data found here to bill health insurance companies, identify providers enrolled in Medicare and Medicaid services or other HIPAA compliant transactions. See the complete NPI profile for A PREMIER LIVING CARE CENTER LLC below.

NPI Profile for
A PREMIER LIVING CARE CENTER LLC

NPI Number
1295429918
Enumeration Date

(about 3 years ago)
Entity Type
Type-2  Organization
Organization health care providers may have a single employee or thousands of employees. An example is an incorporated individual who is an organization's only employee.
Legal Name
A PREMIER LIVING CARE CENTER LLC
Primary location
5204 BRUNCHE DRIVE
JACKSONVILLE, FL 32209
Phone: (904) 485-0978 Fax:
Mailing address
4720 SALISBURY RD
JACKSONVILLE, FL 32256-6101
Phone: Fax:
Organization Subpart
No
Authorized Official
DEBRA AVERY
OWNER/CEO
Phone: (904) 485-0978
Updated
Certification Date
May 09, 2023

Note: NPPES allows providers to attest to the accuracy of their NPI data. When a provider request any change to the NPI record, they will be able to attest to their changed NPI data, resulting in an updated certification date.

Taxonomy Code(s)

A taxonomy code is a code that describes the health care service provider's type, classification, and the area of specialization. The primary specialty for this provider is indicated as (Primary) below.

Taxonomy Classification / Specialization State License
320900000X
- Community Based Residential Treatment Facility, Intellectual and/or Developmental Disabilities (Primary)

The taxonomy codes are selected by the provider at the time of NPI registration. Selection of a taxonomy code does not replace any credentialing or validation process that the provider requesting the code should complete.