OrganizationActive
Premieant Inc
NPI 1417505124 · Intellectual Disabilities Intermediate Care Facility · San Antonio, TX
Provider details
- NPI number
- 1417505124
- Entity type
- Organization
- Primary specialty
- Intellectual Disabilities Intermediate Care FacilityNursing & Custodial Care Facilities
- Parent organization
- Premieant Inc
- Organization subpart
- Yes
- Authorized official
- Jeffrey Engelke, President(512) 916-1632
Specialties & taxonomies
Nursing & Custodial Care Facilities
Practice location
12427 Autumn Vista St
San Antonio, TX 78249-2407
Phone: (512) 916-1632
Fax: (512) 916-1639
Approximate (ZIP-level) locationGet directions
Mailing address
1110 W William Cannon Dr Bldg 2
Austin, TX 78745-5468
Other names (DBA / former)
- Doing business as
- Autumn Vista Home
Registry dates
- Enumerated
- 2019-08-27
- Last updated
- 2019-08-27
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.