Organization Active NPI

Southern Premier Services LLC

  • Intellectual and/or Developmental Disabilities Community Based Residential Treatment Facility
  • Cleveland, TX
National Provider Identifier
1740153329
Registry record updated Sep 29, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Intellectual and/or Developmental Disabilities Community Based Residential Treatment FacilityTaxonomy code 320900000X
Legal business name
SOUTHERN PREMIER SERVICES LLC
Practice address
213 S Roosevelt Ave
Cleveland, TX 77327-4534
Phone
(832) 873-0552
NPI assigned
Sep 29, 2025
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Sep 29, 2025

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

Authorized official

Name
Evelyn April Valportodesa
Title
Director
Phone
(832) 873-0552

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Intellectual and/or Developmental Disabilities Community Based Residential Treatment Facility 320900000X Primary

Addresses

Primary practice location

213 S Roosevelt Ave
Cleveland, TX 77327-4534

Mailing address

213 S Roosevelt Ave
Cleveland, TX 77327-4534
Phone (832) 873-0552

National Provider Directory

National Provider Directory

NPI Registry JSON

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

{
    "created_epoch": "1759104000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1759104000000",
    "number": "1740153329",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "213 S ROOSEVELT AVE",
            "city": "CLEVELAND",
            "state": "TX",
            "postal_code": "773274534",
            "telephone_number": "832-873-0552"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "213 S ROOSEVELT AVE",
            "city": "CLEVELAND",
            "state": "TX",
            "postal_code": "773274534",
            "telephone_number": "832-873-0552"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SOUTHERN PREMIER SERVICES LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2025-09-29",
        "last_updated": "2025-09-29",
        "certification_date": "2025-09-29",
        "status": "A",
        "authorized_official_last_name": "VALPORTODESA",
        "authorized_official_first_name": "EVELYN",
        "authorized_official_middle_name": "APRIL",
        "authorized_official_title_or_position": "DIRECTOR",
        "authorized_official_telephone_number": "832-873-0552"
    },
    "taxonomies": [
        {
            "code": "320900000X",
            "taxonomy_group": "",
            "desc": "Community Based Residential Treatment Facility, Intellectual and/or Developmental Disabilities",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Cleveland, TX

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 29, 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.