Organization Active NPI

Premier Support Services, Inc.

  • Community/Behavioral Health Agency
  • Lenoir, NC
National Provider Identifier
1447482344
Registry record updated Aug 11, 2009
On this page

Key facts

NPPES NPI Registry
Primary specialty
Community/Behavioral Health AgencyTaxonomy code 251S00000X
Legal business name
PREMIER SUPPORT SERVICES, INC.
Practice address
227 Main St NW
Lenoir, NC 28645-5124
Phone
(704) 578-7959
Fax
(704) 531-4405
NPI assigned
Aug 11, 2009
Last updated
Aug 11, 2009By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 11, 2009

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

Authorized official

Name
Mr. Jeffrey Ervin, BS
Title
Ceo/Director
Phone
(704) 578-7959

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Community/Behavioral Health Agency 251S00000X NU Primary

Addresses

Primary practice location

227 Main St NW
Lenoir, NC 28645-5124

Mailing address

227 Main St NW
Lenoir, NC 28645-5124

National Provider Directory

National Provider Directory

Locations

227 N Main St NW
Lenoir, NC 28645
Phone (704) 578-7959

NPI Registry JSON

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

{
    "created_epoch": "1249948800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1249948800000",
    "number": "1447482344",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "227 MAIN ST NW",
            "city": "LENOIR",
            "state": "NC",
            "postal_code": "286455124"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "227 MAIN ST NW",
            "city": "LENOIR",
            "state": "NC",
            "postal_code": "286455124",
            "telephone_number": "704-578-7959",
            "fax_number": "704-531-4405"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PREMIER SUPPORT SERVICES, INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2009-08-11",
        "last_updated": "2009-08-11",
        "status": "A",
        "authorized_official_last_name": "ERVIN",
        "authorized_official_first_name": "JEFFREY",
        "authorized_official_title_or_position": "CEO/DIRECTOR",
        "authorized_official_telephone_number": "704-578-7959",
        "authorized_official_name_prefix": "Mr.",
        "authorized_official_credential": "BS"
    },
    "taxonomies": [
        {
            "code": "251S00000X",
            "taxonomy_group": "",
            "desc": "Community/Behavioral Health",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Lenoir, NC

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 11, 2009; 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.