Premium Residential Services

Primary specialty

Intellectual and/or Developmental Disabilities Community Based Residential Treatment FacilityTaxonomy code 320900000X

Legal business name

PREMIUM RESIDENTIAL SERVICES

Practice address

80 Maple Ave
Irvington, NJ 07111-4322

Phone

(347) 742-5642

NPI assigned

Aug 1, 2026

Organization subpart

No

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

Authorized official

Name

Ms. Leslie Martinez

Title

Managing Member

Phone

(347) 742-5642

Specialties & licenses 1

Addresses

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

{
    "created_epoch": "1785542400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1785542400000",
    "number": "1750204277",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6 TREEMAN DR UNIT 302",
            "city": "HILLSBOROUGH",
            "state": "NJ",
            "postal_code": "088444795",
            "telephone_number": "347-742-5642"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "80 MAPLE AVE",
            "city": "IRVINGTON",
            "state": "NJ",
            "postal_code": "071114322",
            "telephone_number": "347-742-5642"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PREMIUM RESIDENTIAL SERVICES",
        "organizational_subpart": "NO",
        "enumeration_date": "2026-08-01",
        "last_updated": "2026-08-01",
        "certification_date": "2026-08-01",
        "status": "A",
        "authorized_official_last_name": "MARTINEZ",
        "authorized_official_first_name": "LESLIE",
        "authorized_official_title_or_position": "MANAGING MEMBER",
        "authorized_official_telephone_number": "347-742-5642",
        "authorized_official_name_prefix": "Ms."
    },
    "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": []
}

• Ernest Leonard Polite, MSW, LCADC, CCS, CCP
• Precious Home Inc.
• Premier Health Services
• Premier NP Care LLC
• Premium Residential Living LLC
• Preshman LLC
• Prestige Care LLC
• Priceless Joy
• Prime Pediatrics PC
• Maryna Prodan, RN, MSN, FNP-C

• Intellectual and/or Developmental Disabilities Community Based Residential Treatment Facility in Irvington, NJ
• Providers in Irvington, NJ by specialty
• Intellectual and/or Developmental Disabilities Community Based Residential Treatment Facility in New Jersey

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 1, 2026; 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.