AUTUMN PARK ASSISTED LIVING LLC (NPI# 1154951572) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1154951572 |
| Entity Type | Organization |
| Organization Name | AUTUMN PARK ASSISTED LIVING LLC |
| Practice Address |
548 N 1100 E Washington UT 84780-2980 |
| Practice Telephone | 4352754458 |
| Mailing Telephone | 4352754458 |
| Enumeration Date | 2020-01-24 |
| Last Update Date | 2020-04-14 |
| Authorized Official Name | CHRIS HOLUB (ADMINISTRATOR) |
| Authorized Official Telephone | 4352754458 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 310400000X | Assisted Living Facility | Nursing & Custodial Care Facilities |
| Street Address |
548 N 1100 E |
| City | WASHINGTON |
| State | UT |
| Zip Code | 84780-2980 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1437668365 | Patrick R Jackman | Technician | 548 N 1100 E, Washington, UT 84780-2980 | 2017-09-22 |
| 1487167805 | Autumn Park Inc | Assisted Living Facility | 548 N 1100 E, Washington, UT 84780-2980 | 2017-11-07 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1245839547 | Premere Rehab LLC | Occupational Therapist | 1525 E Ovation Pl, Washington, UT 84780 | 2020-10-19 |
| 1649885781 | Signature Hospice St.george, LLC | Hospice Care, Community Based | 1525 East Ovation Place, Ste 2010, Washington, UT 84780 | 2020-09-15 |
| 1457549958 | Nancy J Jenkins | Counselor | 3833 South Mitchell Dr, Washington, UT 84780 | 2007-10-09 |
| 1629274840 | Adam Paul Murie | Chiropractor | 2250 Coral Canyon Blvd. Ste. 202, Washington, UT 84780 | 2007-06-25 |
| 1083788350 | Robert Lawrence Gibson | Dentist | 2303 N Coral Canyon Blvd #202, Washington, UT 84780 | 2006-11-20 |
| 1407802879 | Albertsons LLC | Durable Medical Equipment & Medical Supplies | 915 W Red Cliffs Dr, Washington, UT 84780 | 2006-05-26 |
| 1578178547 | Signature Home Health St.george, LLC | In Home Supportive Care | 1525 East Ovation Place, Ste 2010, Washington, UT 84780 | 2020-09-15 |
| 1033373816 | Stacy Leigh Niemann | Speech-Language Pathologist | 1032 E 100 S, St George, UT 84780 | 2008-07-11 |
| 1689188799 | Misti Michelle Miller | Massage Therapist | 568 W Telegraph St, Washington, UT 84780-1205 | 2017-11-28 |
| 1275045080 | Elite Healthcare Southern Utah LLC | Chiropractor | 568 W Telegraph St Ste 4, Washington, UT 84780-1206 | 2017-11-02 |
| Find all providers in zip 84780 | ||||
| Taxonomy Code | 310400000X |
| Grouping | Nursing & Custodial Care Facilities |
| Classification | Assisted Living Facility |
| A facility providing supportive services to individuals who can function independently in most areas of activity, but need assistance and/or monitoring to assure safety and well being. |
| Notes: [7/1/2003: new] |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1609415041 | Bra Health Care Services, LLC | Assisted Living Facility | 900 K St Ne, Washington, DC 20002-3724 | 2020-01-02 |
| 1174082549 | Paradise At Georgia Ave, LLC | Assisted Living Facility | 5100 Georgia Ave Nw, Washington, DC 20011-3958 | 2019-03-15 |
| 1093282782 | Joel C. Horne & Co., Inc. | Assisted Living Facility | 1078 N Coral Canyon Blvd, Washington, UT 84780-2777 | 2018-10-31 |
| 1386164705 | Eckington House Mental Health Service LLC | Assisted Living Facility | 3030 30th St Se, Washington, DC 20020-1674 | 2017-06-27 |
| 1831596782 | Nissi Homes LLP | Assisted Living Facility | 5915 Dix St Ne, Washington, DC 20019-6968 | 2014-11-20 |
| 1366850885 | Iyeshia Anderson | Assisted Living Facility | 500 44th St Ne, Washington, DC 20019-8044 | 2014-07-28 |
| 1851729529 | 2905 Alf, LLC | Assisted Living Facility | 2905 11th St Nw, Washington, DC 20001-3903 | 2013-10-16 |
| 1265865349 | Assisted Living Centers of America,llc | Assisted Living Facility | 1717 Pennsylvania Ave Nw Ste 1025, Washington, DC 20006-3951 | 2013-08-13 |
| 1598002024 | Americare At Vicotrian Manor of Washington, LLC | Assisted Living Facility | 2701 Rabbit Trail Dr, Washington, MO 63090 | 2013-01-03 |
| 1558659029 | Victorian Manor of Washington, Inc | Assisted Living Facility | 2800 Rabbit Trail Dr, Washington, MO 63090-6737 | 2011-07-18 |
| Find all providers in WASHINGTON | ||||
| City | WASHINGTON |
| Zip Code | 84780 |
Please comment or provide details below to improve the information on AUTUMN PARK ASSISTED LIVING LLC.
| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.