MEDICARE: PREMIER COMMUNITY SERVICES

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	251C00000X	Developmentally Disabled Services Day Training Agency	PCA15118	LA

Other Identifiers

#	Provider Identifier	Provider Identifier Type	Provider Identifier State	Provider Identifier Issuer
1	MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program

General Provider Information

NPI Number	:	1821239203
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	PREMIER COMMUNITY SERVICES

Provider Business Mailing Address
First Line	:	3414 MOSS ST
Second Line	:	STE C
City	:	LAFAYETTE
State	:	LA
Zip	:	70507-6107
Country	:	US
Telephone Number	:	337-269-8990
Fax Number	:	225-272-1940

Provider Business Practice Location Address
First Line	:	3414 MOSS ST
Second Line	:	STE C
City	:	LAFAYETTE
State	:	LA
Zip	:	70507-6107
Country	:	US
Telephone Number	:	337-269-8990
Fax Number	:	225-272-1940

Authorized Official
Title or Position	:	EXECUTIVE DIRECTOR
Name	:	MS. VIRGINIA COLLINS
Credential	:	LCSW
Telephone Number	:	225-405-3333

Provider Enumeration Date	:	03/16/2009
Last Update Date	:	03/16/2009

Similar Medicare Providers

1982604419 — DR. PATRICK DEVINCENT MOORE M.D.
Practice Location Address:

3414 MOSS ST , SUITE F&G
LAFAYETTE, LA
70507-6107

Practice Phone: 337-706-8986
Practice Fax: 337-706-8714

1225156151 — DR. WILLIAM FREDERICK KORTUM III MD
Practice Location Address:

3414 MOSS ST STE A
LAFAYETTE, LA
70507-6107

Practice Phone: 337-235-1212
Practice Fax:

1639356868 — MAHOGANY HOSPICE CARE OF LOUISIANA, INC
Practice Location Address:

3414 MOSS ST
LAFAYETTE, LA
70507-6107

Practice Phone: 337-232-5992
Practice Fax: 337-232-5929

1790940294 — JAMIE N SMITH MPH, P.A.-C
Practice Location Address:

3414 MOSS ST , STE F
LAFAYETTE, LA
70507-6107

Practice Phone: 337-706-8986
Practice Fax: 337-706-8714

1811149305 — PREMIER COMMUNITY SERVICES, LLC
Practice Location Address:

3414 MOSS ST , SUITE C
LAFAYETTE, LA
70507-6107

Practice Phone: 337-269-8915
Practice Fax: 337-269-8992

1710210430 — PREMIER COMMUNITY SERVICES, LLC
Practice Location Address:

3414 MOSS ST , SUITE G
LAFAYETTE, LA
70507-6107

Practice Phone: 337-269-8990
Practice Fax: 225-272-1940

Directions to “PREMIER COMMUNITY SERVICES ” Practice Location

Language	Start Address	Practice Location

These directions are for planning purposes only. You may find that construction projects, traffic, or other events may cause road conditions to differ from the map results.

Copyright © 2007-2026 (Powered by Swiss Vault Engine), all rights reserved. HIPAA liability, trademark, document use and software licensing rules apply. All registered trademarks, used in the content, are the property of their owners. Your interactions with this site are in accordance with our Terms of Use and Privacy Policy.