Active NPI
Premium Nation Enterprise LLC
- Developmentally Disabled Services Day Training Agency
- Cypress, TX
National Provider Identifier
1619854346
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Developmentally Disabled Services Day Training Agency
- Legal business name
- PREMIUM NATION ENTERPRISE LLC
- Practice address
- 20226 Chula Vista Dr
Cypress, TX 77433-8352 - Phone
- (281) 905-4487
- NPI assigned
- Aug 15, 2025
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Chelkie Douglas
- Title
- Owner
- Phone
- (281) 905-4487
Specialties & licenses 11
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Developmentally Disabled Services Day Training Agency | 251C00000X | Primary | ||
| Community/Behavioral Health Agency | 251S00000X | |||
| In Home Supportive Care Agency | 253Z00000X | |||
| Adult Day Care Clinic/Center | 261QA0600X | |||
| Developmental Disabilities Clinic/Center | 261QD1600X | |||
| Mental Health Clinic/Center (Including Community Mental Health Center) | 261QM0801X | |||
| Adult Mental Health Clinic/Center | 261QM0850X | |||
| Assisted Living Facility (Behavioral Disturbances) | 3104A0630X | |||
| Intellectual Disabilities Intermediate Care Facility | 315P00000X | |||
| Intellectual and/or Developmental Disabilities Residential Treatment Facility | 320600000X | |||
| Mental Illness Community Based Residential Treatment Facility | 320800000X |
Addresses
Primary practice location
20226 Chula Vista Dr
Cypress, TX 77433-8352
Mailing address
20226 Chula Vista Dr
Cypress, TX 77433-8352
Phone (281) 905-4487
Other names 1
- Premium Healthcare
National Provider Directory
National Provider DirectoryNPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1755216000000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1755302400000",
"number": "1619854346",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "20226 CHULA VISTA DR",
"city": "CYPRESS",
"state": "TX",
"postal_code": "774338352",
"telephone_number": "281-905-4487"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "20226 CHULA VISTA DR",
"city": "CYPRESS",
"state": "TX",
"postal_code": "774338352",
"telephone_number": "281-905-4487"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "PREMIUM NATION ENTERPRISE LLC",
"organizational_subpart": "NO",
"enumeration_date": "2025-08-15",
"last_updated": "2025-08-16",
"certification_date": "2025-08-16",
"status": "A",
"authorized_official_last_name": "DOUGLAS",
"authorized_official_first_name": "CHELKIE",
"authorized_official_title_or_position": "OWNER",
"authorized_official_telephone_number": "281-905-4487"
},
"taxonomies": [
{
"code": "251C00000X",
"taxonomy_group": "",
"desc": "Day Training, Developmentally Disabled Services",
"state": null,
"license": null,
"primary": true
},
{
"code": "251S00000X",
"taxonomy_group": "",
"desc": "Community/Behavioral Health",
"state": null,
"license": null,
"primary": false
},
{
"code": "253Z00000X",
"taxonomy_group": "",
"desc": "In Home Supportive Care",
"state": null,
"license": null,
"primary": false
},
{
"code": "261QA0600X",
"taxonomy_group": "",
"desc": "Clinic/Center, Adult Day Care",
"state": null,
"license": null,
"primary": false
},
{
"code": "261QD1600X",
"taxonomy_group": "",
"desc": "Clinic/Center, Developmental Disabilities",
"state": null,
"license": null,
"primary": false
},
{
"code": "261QM0801X",
"taxonomy_group": "",
"desc": "Clinic/Center, Mental Health (Including Community Mental Health Center)",
"state": null,
"license": null,
"primary": false
},
{
"code": "261QM0850X",
"taxonomy_group": "",
"desc": "Clinic/Center, Adult Mental Health",
"state": null,
"license": null,
"primary": false
},
{
"code": "3104A0630X",
"taxonomy_group": "",
"desc": "Assisted Living Facility, Assisted Living, Behavioral Disturbances",
"state": null,
"license": null,
"primary": false
},
{
"code": "315P00000X",
"taxonomy_group": "",
"desc": "Intermediate Care Facility, Intellectual Disabilities",
"state": null,
"license": null,
"primary": false
},
{
"code": "320600000X",
"taxonomy_group": "",
"desc": "Residential Treatment Facility, Intellectual and/or Developmental Disabilities",
"state": null,
"license": null,
"primary": false
},
{
"code": "320800000X",
"taxonomy_group": "",
"desc": "Community Based Residential Treatment Facility, Mental Illness",
"state": null,
"license": null,
"primary": false
}
],
"identifiers": [],
"endpoints": [],
"other_names": [
{
"organization_name": "Premium Healthcare",
"code": "3",
"type": "Doing Business As"
},
{
"organization_name": "Premium Healthcare",
"code": "3",
"type": "Doing Business As"
}
]
}
Other providers in Cypress, TX
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 16, 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.