Premium Residential Living LLC
NPI 1841128451 · Intellectual and/or Developmental Disabilities Community Based Residential Treatment Facility · Irvington, NJ
Premium Residential Living LLC is a Intellectual and/or Developmental Disabilities Community Based Residential Treatment Facility organization in Irvington, NJ (NPI 1841128451).
Provider details
- NPI number
- 1841128451
- Entity type
- Organization
- Primary specialty
- Intellectual and/or Developmental Disabilities Community Based Residential Treatment FacilityResidential Treatment Facilities
- Organization subpart
- No
- Authorized official
- Leslie Martinez, Owner(347) 742-5642
Specialties & taxonomies
- Intellectual and/or Developmental Disabilities Community Based Residential Treatment FacilityPrimary320900000X
Residential Treatment Facilities
Profile Score
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure38% of score
Under 1 yr in 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
- 2026-05-12
- Last updated
- 2026-05-12
- Certified
- 2026-05-12
Frequently asked questions
- What is Premium Residential Living LLC's NPI number?
- Premium Residential Living LLC's National Provider Identifier (NPI) is 1841128451, a unique 10-digit ID issued by CMS for use in standard healthcare transactions.
- What type of organization is Premium Residential Living LLC?
- Premium Residential Living LLC is classified in the NPPES registry as Intellectual and/or Developmental Disabilities Community Based Residential Treatment Facility (Residential Treatment Facilities).
- Where is Premium Residential Living LLC located?
- Premium Residential Living LLC's practice location on file with NPPES is 80 Maple Ave, Irvington, NJ 07111-4322.
- What is Premium Residential Living LLC's phone number?
- The practice phone number listed in the NPPES registry for Premium Residential Living LLC is (347) 742-5642.
- Who is the authorized official for Premium Residential Living LLC?
- The authorized official listed on Premium Residential Living LLC's NPPES record is Leslie Martinez, Owner. The authorized official registers and maintains the organization's NPI and is not necessarily its owner.
- Is Premium Residential Living LLC's NPI active?
- Yes — Premium Residential Living LLC's NPI (1841128451) is active in the NPPES registry as of the last update on 2026-05-12.
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.