Premiere Behavioral Supports

LBN: Premiere Behavioral Supports
Premiere Behavioral Supports is an health care organization with primary practice located at 291 Gatewood Dr , Largo FL 33770-2902. The organization recently has 5 registered licenses in different health care specialties including Behavioral Health & Social Service Providers / Behavior Technician, Agencies / Community/Behavioral Health, Agencies / In Home Supportive Care, Nursing Service Related Providers / Adult Companion, Respite Care Facility / Respite Care, Mental Retardation and/or Developmental Disabilities. Agencies / Community/Behavioral Health is the primary health care specialty. Premiere Behavioral Supports can be contacted via phone (352) 995-8861, or through Giansanti, Jason via phone (856) 861-5448.

Contact Information

Primary practice address
291 Gatewood Dr Largo FL 33770-2902
Phone: (352) 995-8861
Fax: (856) 599-8300
Website:
Map and Directions
Authorized official contact:
Name: Giansanti, Jason
Phone: (856) 861-5448

Health care specialties

SpecialtyCodeLicense #State
Behavioral Health & Social Service Providers / Behavior Technician 106S00000X
Agencies / Community/Behavioral Health 251S00000X
Agencies / In Home Supportive Care 253Z00000X
Nursing Service Related Providers / Adult Companion 372600000X
Respite Care Facility / Respite Care, Mental Retardation and/or Developmental Disabilities 385HR2060X

Profile Details

NPI number 1710402631
LBN Legal business name Premiere Behavioral Supports
DBA Doing business as
Authorized official Giansanti, Jason
Entity Organization
Organization subpart 1 No
Enumeration date Aug 11th, 2017
Last updated Sep 15th, 2022 - about 2 years ago

1 Some organizations, which are providing health care services, may consist of units or departments that provide different types of health care services or have several separate physical locations, where health care service is provided. These units, departments or physical locations are not themselves legal entities. However, each of them is part of the organization, which is a legal entity. The organization may decide whether its subparts, if it has any, should have their own NPI numbers. In case a subpart conducts any HIPAA standard transactions by itself, without its parent's involvement, it must have its own NPI number.

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Identifiers

StateTypeNumberIssuer
All States NPI 1710402631 NPPES
New Jersey MEDICAID 0588164
New Jersey MEDICAID 114080800
New Jersey MEDICAID 115254900

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