Premier Support Community Services Corporation

Primary specialty

In Home Supportive Care AgencyTaxonomy code 253Z00000X

Legal business name

PREMIER SUPPORT COMMUNITY SERVICES CORPORATION

Practice address

117 Tara Run
Woolwich TWP, NJ 08085-3049

Phone

(856) 297-6726

NPI assigned

Jul 31, 2023

Organization subpart

No

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

Authorized official

Name

Traci Schmidt, RN

Title

President

Phone

(856) 297-6726

Specialties & licenses 1

Addresses

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

{
    "created_epoch": "1690761600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1690761600000",
    "number": "1407537673",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "117 TARA RUN",
            "city": "WOOLWICH TWP",
            "state": "NJ",
            "postal_code": "080853049",
            "telephone_number": "856-297-6726"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "117 TARA RUN",
            "city": "WOOLWICH TWP",
            "state": "NJ",
            "postal_code": "080853049",
            "telephone_number": "856-297-6726"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PREMIER SUPPORT COMMUNITY SERVICES CORPORATION",
        "organizational_subpart": "NO",
        "enumeration_date": "2023-07-31",
        "last_updated": "2023-07-31",
        "certification_date": "2023-07-22",
        "status": "A",
        "authorized_official_last_name": "SCHMIDT",
        "authorized_official_first_name": "TRACI",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "856-297-6726",
        "authorized_official_credential": "RN"
    },
    "taxonomies": [
        {
            "code": "253Z00000X",
            "taxonomy_group": "",
            "desc": "In Home Supportive Care",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Kingsway Regional School District
• Debbie Leoni, MA, LPC
• Lubesta Healthcare Services
• Christina L Ludlam, RN, ATC
• Katherine A Mott, LCSW
• Swedesboro-Woolwich School District
• Underwood-Memorial Hospital (Underwood Neurology)
• Chad Joseph Warren, FNP

• In Home Supportive Care Agency in Woolwich TWP, NJ
• Providers in Woolwich TWP, NJ by specialty
• In Home Supportive Care Agency in New Jersey

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 31, 2023; 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.