Organization Active NPI

Alliance Premier Services LLC

Doing business as Premier Homes

  • Physical Disabilities Residential Treatment Facility
  • Plymouth, MN
National Provider Identifier
1114722675
Registry record updated Feb 21, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical Disabilities Residential Treatment FacilityTaxonomy code 320700000X
Legal business name
ALLIANCE PREMIER SERVICES LLC
Doing business as
Premier Homes
Practice address
4945 Alvarado LN N
Plymouth, MN 55446-3066
Phone
(763) 442-7139
NPI assigned
Feb 18, 2025
Last updated
Feb 21, 2025By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Feb 21, 2025

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name
Mr. Robin M Nyangena
Title
Ceo
Phone
(763) 442-7139

Specialties & licenses 4

Specialty (taxonomy)CodeLicenseStatePrimary
Nursing Care Agency 251J00000X NU
Physical Disabilities Residential Treatment Facility 320700000X NU Primary
Lodging Provider 177F00000X NU
Community/Behavioral Health Agency 251S00000X NU

Addresses

Primary practice location

4945 Alvarado LN N
Plymouth, MN 55446-3066

Mailing address

4945 Alvarado LN N
Plymouth, MN 55446-3066
Phone (763) 442-7139

Other names 1

  • Premier Homes Doing business as

National Provider Directory

National Provider Directory

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1739836800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1740096000000",
    "number": "1114722675",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4945 ALVARADO LN N",
            "city": "PLYMOUTH",
            "state": "MN",
            "postal_code": "554463066",
            "telephone_number": "763-442-7139"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4945 ALVARADO LN N",
            "city": "PLYMOUTH",
            "state": "MN",
            "postal_code": "554463066",
            "telephone_number": "763-442-7139"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ALLIANCE PREMIER SERVICES LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2025-02-18",
        "last_updated": "2025-02-21",
        "certification_date": "2025-02-21",
        "status": "A",
        "authorized_official_last_name": "M NYANGENA",
        "authorized_official_first_name": "ROBIN",
        "authorized_official_title_or_position": "CEO",
        "authorized_official_telephone_number": "763-442-7139",
        "authorized_official_name_prefix": "Mr."
    },
    "taxonomies": [
        {
            "code": "251J00000X",
            "taxonomy_group": "",
            "desc": "Nursing Care",
            "state": "NU",
            "license": null,
            "primary": false
        },
        {
            "code": "320700000X",
            "taxonomy_group": "",
            "desc": "Residential Treatment Facility, Physical Disabilities",
            "state": "NU",
            "license": null,
            "primary": true
        },
        {
            "code": "177F00000X",
            "taxonomy_group": "",
            "desc": "Lodging",
            "state": "NU",
            "license": null,
            "primary": false
        },
        {
            "code": "251S00000X",
            "taxonomy_group": "",
            "desc": "Community/Behavioral Health",
            "state": "NU",
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Premier Homes",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Plymouth, MN

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 21, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.