Organization · NPI-2

Premium Nation Enterprise LLC

Day Training, Developmentally Disabled Services · Cypress, TX

NPI number1619854346

StatusActive

Last updated in NPPESAug 16, 2025

Details

NPI: 1619854346
Entity type: Organization (NPI-2)
Legal business name: Premium Nation Enterprise LLC
Organization subpart: No
Enumeration date: Aug 15, 2025
Certification date: Aug 16, 2025
Last updated: Aug 16, 2025

Taxonomy and licenses

Taxonomy code	Description	License	State	Primary
251C00000X	Day Training, Developmentally Disabled Services	–	–	Yes
251S00000X	Community/Behavioral Health	–	–
253Z00000X	In Home Supportive Care	–	–
261QA0600X	Clinic/Center, Adult Day Care	–	–
261QD1600X	Clinic/Center, Developmental Disabilities	–	–
261QM0801X	Clinic/Center, Mental Health (Including Community Mental Health Center)	–	–
261QM0850X	Clinic/Center, Adult Mental Health	–	–
3104A0630X	Assisted Living Facility, Assisted Living, Behavioral Disturbances	–	–
315P00000X	Intermediate Care Facility, Intellectual Disabilities	–	–
320600000X	Residential Treatment Facility, Intellectual and/or Developmental Disabilities	–	–
320800000X	Community Based Residential Treatment Facility, Mental Illness	–	–

Other names

Premium Healthcare (Doing Business As)

Practice location

20226 Chula Vista Dr
Cypress, TX 77433-8352

Phone 281-905-4487

Mailing address

20226 Chula Vista Dr
Cypress, TX 77433-8352

Phone 281-905-4487

Authorized official

Chelkie Douglas
Owner
2819054487

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