Organization Active NPI

Premier Community Services, LLC

  • Community/Behavioral Health Agency
  • Lafayette, LA
National Provider Identifier
1972932705
Registry record updated Nov 2, 2013
On this page

Key facts

NPPES NPI Registry
Primary specialty
Community/Behavioral Health AgencyTaxonomy code 251S00000X
License
15479 Issued in LA
Legal business name
PREMIER COMMUNITY SERVICES, LLC
Practice address
1001 W Pinhook Rd
Ste 301
Lafayette, LA 70503-2448
Phone
(337) 269-8990
NPI assigned
Nov 2, 2013
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Nov 2, 2013

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

Authorized official

Name
Ms. Virginia Collins, MSW
Title
Executive Director
Phone
(225) 933-0142

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Community/Behavioral Health Agency 251S00000X 15479 LA Primary

Addresses

Primary practice location

1001 W Pinhook Rd
Ste 301
Lafayette, LA 70503-2448

Mailing address

PO Box 1009
Baldwin, LA 70514-1009
Phone (337) 269-8990

Other identifiers 1

IdentifierTypeStateIssuer
1800741MedicaidLA

National Provider Directory

National Provider Directory
Tax ID family
Premier Community Services LLC13 organizations share this tax ID, including this one

Other organizations with this tax ID 12

Organizations that report the same tax identification number in the National Provider Directory.

NPI Registry JSON

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

{
    "created_epoch": "1383350400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1383350400000",
    "number": "1972932705",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 1009",
            "city": "BALDWIN",
            "state": "LA",
            "postal_code": "705141009",
            "telephone_number": "337-269-8990",
            "fax_number": "337-923-0363"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1001 W PINHOOK RD",
            "address_2": "STE 301",
            "city": "LAFAYETTE",
            "state": "LA",
            "postal_code": "705032448",
            "telephone_number": "337-269-8990"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PREMIER COMMUNITY SERVICES, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2013-11-02",
        "last_updated": "2013-11-02",
        "status": "A",
        "authorized_official_last_name": "COLLINS",
        "authorized_official_first_name": "VIRGINIA",
        "authorized_official_title_or_position": "EXECUTIVE DIRECTOR",
        "authorized_official_telephone_number": "225-933-0142",
        "authorized_official_name_prefix": "Ms.",
        "authorized_official_credential": "MSW"
    },
    "taxonomies": [
        {
            "code": "251S00000X",
            "taxonomy_group": "",
            "desc": "Community/Behavioral Health",
            "state": "LA",
            "license": "15479",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1800741",
            "state": "LA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Lafayette, LA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 2, 2013; 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.