AUTUMN VILLAGE, INC.


Address: 1103 Barrs Street, Jacksonville, FL 32204
Phone: 9043847506

AUTUMN VILLAGE, INC. (NPI# 1851736540) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).

Provider Overview

Nation Provider ID (NPI) 1851736540
Entity Type Organization
Organization Name AUTUMN VILLAGE, INC.
Practice Address 1103 Barrs Street
Jacksonville
FL 32204
Mailing Address 1103 Barrs St
Jacksonville
FL 32204-4220
Practice Telephone 9043847506
Practice Fax Number 9043847279
Mailing Telephone 9043847506
Mailing Fax Number 9043847279
Enumeration Date 2013-05-08
Last Update Date 2013-05-08
Authorized Official Name MS. ALEXANDRA CARPENTER (DIRECTOR OF ADMISSIONS)
Authorized Official Telephone 9043847506
Is Organization Subpart N

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
Y 3104A0625X Assisted Living Facility
Specialization: Assisted Living, Mental Illness
AL5221 FL Nursing & Custodial Care Facilities

Other Provider IDs and Locations

NPI Name Taxonomy Address Enumeration
1992929475 Autumn Village, Inc. Custodial Care Facility 235 N Nc 41 Hwy, Beulaville, NC 28518-8633 2007-04-13

Office Location

Street Address 1103 BARRS STREET
City JACKSONVILLE
State FL
Zip Code 32204

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Taxonomy Information

Taxonomy Code 3104A0625X
Grouping Nursing & Custodial Care Facilities
Classification Assisted Living Facility
Specialization Assisted Living, Mental Illness

Taxonomy Definition

A facility providing supportive services to individuals who can function independently in most areas of activity, but need special guidance, assistance and/or monitoring as the result of a psychiatric problem. This type of facility requires a staff with special training in mental health training and dealing with psychiatric emergencies.
Notes: [7/1/2003: new]

Providers in the same taxonomy and city

NPI Name Taxonomy Address Enumeration
1548826480 Comfort Alf LLC Assisted Living Facility 2122 N Myrtle Ave, Jacksonville, FL 32209-5633 2019-05-16
1194113670 Bishop Home Care Inc Assisted Living Facility 16308 Magnolia Grove Way, Jacksonville, FL 32218-0116 2015-01-06
1861896284 Stephanie's Love & Care (alf) Assisted Living Facility 3056 W 1st St, Jacksonville, FL 32254-2539 2014-10-14
1245643915 Golden Retreat Shelter Care Center, Inc. Assisted Living Facility 4410 Moncrief Rd W, Jacksonville, FL 32209-1228 2014-06-10
1952714404 Ivan Maldonado Assisted Living Facility 6320 Arlington Rd, Jacksonville, FL 32211-5430 2014-06-03
1215353370 Arlington Adult Residential Facility, Inc. Assisted Living Facility 6300 Arlington Expy, Jacksonville, FL 32211-7144 2014-03-13
1679997704 Watts Guardian Care, Inc. Assisted Living Facility 7217 Eudine Dr N, Jacksonville, FL 32210-2628 2014-02-10
1164868923 Circle of Hope Inc Assisted Living Facility 1550 W 9th St, Jacksonville, FL 32209-5410 2013-05-20
1265780274 Wiley Retirement Home Assisted Living Facility 7024 Wiley Rd, Jacksonville, FL 32210-2736 2012-08-22
1447567540 Second Beginnings Alf Assisted Living Facility 7306 Maple Tree Dr, Jacksonville, FL 32277-2806 2010-09-10
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Competitor

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City JACKSONVILLE
Zip Code 32204

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Dataset Information

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.

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