Premium Residential LLC
NPI 1235859869 · Mental Illness Community Based Residential Treatment Facility · Casa Grande, AZ
Premium Residential LLC is a Mental Illness Community Based Residential Treatment Facility organization in Casa Grande, AZ (NPI 1235859869).
Provider details
- NPI number
- 1235859869
- Entity type
- Organization
- Primary specialty
- Mental Illness Community Based Residential Treatment FacilityResidential Treatment Facilities
- Organization subpart
- No
- Authorized official
- Kesiena Eruotor, Administrator(346) 754-4511
Specialties & taxonomies
Residential Treatment Facilities
Profile Score
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure38% of score
3 yrs in NPPES registry
- Profile completeness38% of score
100% of core fields populated
- Practice footprint23% of score
1 documented practice location
Signals a provider has no public data for (e.g. Medicare claims) are left out of the score entirely — never counted as zero — so providers without that data are not penalized. See the full formula and weights in our methodology.
Practice location
Mailing address
Registry dates
- Enumerated
- 2022-09-01
- Last updated
- 2024-08-26
- Certified
- 2024-08-26
Frequently asked questions
- What is Premium Residential LLC's NPI number?
- Premium Residential LLC's National Provider Identifier (NPI) is 1235859869, a unique 10-digit ID issued by CMS for use in standard healthcare transactions.
- What type of organization is Premium Residential LLC?
- Premium Residential LLC is classified in the NPPES registry as Mental Illness Community Based Residential Treatment Facility (Residential Treatment Facilities).
- Where is Premium Residential LLC located?
- Premium Residential LLC's practice location on file with NPPES is 3545 N Cinnabar Pl, Casa Grande, AZ 85122.
- What is Premium Residential LLC's phone number?
- The practice phone number listed in the NPPES registry for Premium Residential LLC is (346) 754-4511.
- Who is the authorized official for Premium Residential LLC?
- The authorized official listed on Premium Residential LLC's NPPES record is Kesiena Eruotor, Administrator. The authorized official registers and maintains the organization's NPI and is not necessarily its owner.
- Is Premium Residential LLC's NPI active?
- Yes — Premium Residential LLC's NPI (1235859869) is active in the NPPES registry as of the last update on 2024-08-26.
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.