AUTUMN LAKE LLC (NPI# 1699153205) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1699153205 |
| Entity Type | Organization |
| Organization Name | AUTUMN LAKE LLC |
| Practice Address |
11758 S Harrells Ferry Rd Ste C Baton Rouge LA 70816-2365 |
| Practice Telephone | 2252462740 |
| Practice Fax Number | 2253674687 |
| Mailing Telephone | 2252462740 |
| Mailing Fax Number | 2253674687 |
| Enumeration Date | 2015-05-14 |
| Last Update Date | 2019-08-26 |
| Authorized Official Name | CRISTAL RILEY (COO) |
| Authorized Official Telephone | 2252462740 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 253Z00000X | In Home Supportive Care | Agencies |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| LA | 1720500 | 05 |
| Address | Telephone Number | Fax Number |
|---|---|---|
| 5215 Essen Ln Ste 5, Baton Rouge, LA 708093563 | 2257512409 | 2257512466 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1518345214 | Autumn Lake LLC | In Home Supportive Care | 11758 S Harrells Ferry Rd Ste C, Baton Rouge, LA 70816-2365 | 2015-05-13 |
| 1255812582 | Autumn Lake LLC | Home Health | 11758 S Harrells Ferry Rd Ste C, Baton Rouge, LA 70816-2365 | 2018-08-24 |
| 1336527944 | Autumn Lake LLC | In Home Supportive Care | 11758 S Harrells Ferry Rd Ste C, Baton Rouge, LA 70816-2365 | 2015-05-14 |
| Street Address |
11758 S HARRELLS FERRY RD STE C |
| City | BATON ROUGE |
| State | LA |
| Zip Code | 70816-2365 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1518345214 | Autumn Lake LLC | In Home Supportive Care | 11758 S Harrells Ferry Rd Ste C, Baton Rouge, LA 70816-2365 | 2015-05-13 |
| 1255812582 | Autumn Lake LLC | Home Health | 11758 S Harrells Ferry Rd Ste C, Baton Rouge, LA 70816-2365 | 2018-08-24 |
| 1245727908 | Autumn Community Care LLC | Home Health | 11758 S Harrells Ferry Rd Ste C, Baton Rouge, LA 70816-2365 | 2018-04-18 |
| 1790272458 | Autumn Community Care LLC | Home Health | 11758 S Harrells Ferry Rd Ste C, Baton Rouge, LA 70816-2365 | 2018-04-18 |
| 1477040293 | Autumn Community Care LLC | Home Health | 11758 S Harrells Ferry Rd Ste C, Baton Rouge, LA 70816-2365 | 2018-04-17 |
| 1336527944 | Autumn Lake LLC | In Home Supportive Care | 11758 S Harrells Ferry Rd Ste C, Baton Rouge, LA 70816-2365 | 2015-05-14 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1609475128 | Exceptional Dental of Coursey, LLC | Dentist | 12045 Coursey Bvld., Baton Rouge, LA 70816 | 2020-10-26 |
| 1780294058 | Yolande Eileen Thomas | Case Manager/Care Coordinator | Array of Hope, 11940 Bricksome Ave, Baton Rouge, LA 70816 | 2020-08-03 |
| 1164052296 | Hoh Palliative Care, LLC | Family Medicine | 4212 American Way, Suite C, Baton Rouge, LA 70816 | 2020-01-16 |
| 1427698778 | Patricia Salton-hobson | Case Manager/Care Coordinator | 3888 S. Sherwood Forest Blvd Bldg II Ste F, Baton Rouge, LA 70816 | 2020-01-14 |
| 1467010447 | Niqueria Von'shea Mcswain | Licensed Practical Nurse | 2455 Weldwood Dr, Apt 6108, Baton Rouge, LA 70816 | 2019-06-04 |
| 1184184665 | Brent C Underwood | Chiropractor | 11851 Coursey Blvd., Baton Rouge, LA 70816 | 2019-03-21 |
| 1720544240 | Titus Randle II | Secured Medical Transport (VAN) | 1234 Pompey Dr, Baton Rouge, LA 70816 | 2019-02-20 |
| 1356820054 | Ashley Wheeler | Social Worker | 1761 Physicians Blvd., Baton Rouge, LA 70816 | 2018-08-13 |
| 1609355783 | Lynda W Thibodeaux | Counselor | 4021 W.e. Heck Court, Building B Suite 2, Baton Rouge, LA 70816 | 2018-08-09 |
| 1083193114 | Akamin Victor Nkengaka | Case Manager/Care Coordinator | Pelican Bayou Counseling Services, 3084 Westfolk Drive, Baton Rouge, LA 70816 | 2018-08-09 |
| Find all providers in zip 70816 | ||||
| Taxonomy Code | 253Z00000X |
| Grouping | Agencies |
| Classification | In Home Supportive Care |
| An In Home Supportive Care Agency provides services in the patient’s home with the goal of enabling the patient to remain at home. The services provided may include personal care services such as hands-on assistance with activities of daily living (ADLs), e.g., eating, bathing, dressing, and bladder and bowel requirements; homemaker services and instrumental activities of daily living (IADLs), e.g., taking medications, shopping for groceries, laundry, housekeeping, and companionship; and/or supervision or cuing so that a person can perform tasks themselves. |
| Notes: Source: National Uniform Claim Committee, 2008 [7/1/2008: new] |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1861020596 | Kith & Kin Care Givers LLC | In Home Supportive Care | 1200 S Acadian Twy Ste 211, Baton Rouge, LA 70806-6900 | 2020-03-30 |
| 1427681659 | Raynesha Cummings | In Home Supportive Care | 2138 Wooddale Blvd Ste 7, Baton Rouge, LA 70806-1443 | 2020-02-17 |
| 1275177792 | Our Grace LLC | In Home Supportive Care | 11940 Bricksome Ave Ste D, Baton Rouge, LA 70816-2594 | 2019-10-29 |
| 1972150928 | Innovative Resource Group of Louisiana | In Home Supportive Care | 9800 Airline Hwy Ste 125, Baton Rouge, LA 70816-8000 | 2019-08-23 |
| 1194371054 | A New Beginning Personal Care | In Home Supportive Care | 3613 Government St Ste B, Baton Rouge, LA 70806-5721 | 2019-08-15 |
| 1083260525 | A New Beginning Personal Care | In Home Supportive Care | 12090 S Harrells Ferry Rd Ste R, Baton Rouge, LA 70816-2470 | 2019-08-12 |
| 1376198077 | New Angelic Friends | In Home Supportive Care | 9410 Lindale Ave Ste C, Baton Rouge, LA 70815-4160 | 2019-08-08 |
| 1255983797 | Moore Care, LLC | In Home Supportive Care | 7341 Jefferson Hwy Ste I, Baton Rouge, LA 70806-8203 | 2019-07-15 |
| 1427517499 | Sdx Home Care Operations, LLC | In Home Supportive Care | 4626 Jamestown Ave Ste 6, Baton Rouge, LA 70808-3217 | 2019-03-18 |
| 1285190488 | Lda Caring With Open Arms | In Home Supportive Care | 1610 S Flannery Rd, Baton Rouge, LA 70816-1170 | 2019-02-13 |
| Find all providers in BATON ROUGE | ||||
| City | BATON ROUGE |
| Zip Code | 70816 |
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| 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.