Provider Demographics
NPI:1114722675
Name:ALLIANCE PREMIER SERVICES LLC
Entity type:Organization
Organization Name:ALLIANCE PREMIER SERVICES LLC
Other - Org Name:<UNAVAIL>
Other - Org Type:
Authorized Official - Title/Position:CEO
Authorized Official - Prefix:MR
Authorized Official - First Name:ROBIN
Authorized Official - Middle Name:
Authorized Official - Last Name:M NYANGENA
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:763-442-7139
Mailing Address - Street 1:4945 ALVARADO LN N
Mailing Address - Street 2:
Mailing Address - City:PLYMOUTH
Mailing Address - State:MN
Mailing Address - Zip Code:55446-3066
Mailing Address - Country:US
Mailing Address - Phone:763-442-7139
Mailing Address - Fax:
Practice Address - Street 1:4945 ALVARADO LN N
Practice Address - Street 2:
Practice Address - City:PLYMOUTH
Practice Address - State:MN
Practice Address - Zip Code:55446-3066
Practice Address - Country:US
Practice Address - Phone:763-442-7139
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2025-02-18
Last Update Date:2025-02-21
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes320700000XResidential Treatment FacilitiesResidential Treatment Facility, Physical Disabilities
No177F00000XOther Service ProvidersLodging
No251J00000XAgenciesNursing Care
No251S00000XAgenciesCommunity/Behavioral Health