AUTUMN COURT HEALTHCARE CENTER LLC
NPI 1093651838
Assisted Living Facility in Mount Vernon, MO
About Autumn Court Healthcare Center Llc NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
AUTUMN COURT HEALTHCARE CENTER LLC (NPI 1093651838) is a healthcare organization registered as an assisted living facility in Mount Vernon, Missouri and active in the NPI registry since April 2026. The organization holds a CLIA Waiver certificate valid through May 9, 2027 and lists Joshua Williams, Manager, as its authorized official.
NPPES Registry Identity
Specialties & Licenses
CLIA Laboratory Certificates CMS CLIA
Laboratory certificates issued under the Clinical Laboratory Improvement Amendments (CLIA) program, which sets federal quality standards for human laboratory testing in the United States. There is no official CMS crosswalk between CLIA and NPI numbers; these certificates are associated with this NPI by matching facility names, locations and phone numbers in the CMS CLIA registry.
Certificate of Waiver 26D0960446
Autumn Court Healthcare Center LLC · Mount Vernon, MOOther Providers at the Same Location NPPES
Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.
Frequently Asked Questions NPPES & CMS
Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.
What is Autumn Court Healthcare Center LLC's NPI number?
The NPI number for Autumn Court Healthcare Center LLC is 1093651838. It was assigned to this organization in the NPPES registry on April 24, 2026.
Where is Autumn Court Healthcare Center LLC located?
Autumn Court Healthcare Center LLC is located at 1421 S Landrum St, Mount Vernon, MO 65712. The listed phone number is (417) 466-2549.
What is Autumn Court Healthcare Center LLC's specialty?
The primary specialty registered for this NPI is Assisted Living Facility with taxonomy code 310400000X.
Does Autumn Court Healthcare Center LLC hold a CLIA laboratory certificate?
Yes. A Certificate of Waiver (number 26D0960446) is associated with this NPI, valid through May 9, 2027. CLIA certificates authorize laboratory testing under the federal Clinical Laboratory Improvement Amendments program.
When was this NPI record last updated?
The NPPES record for Autumn Court Healthcare Center LLC was last updated on April 24, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 3 months ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.
# Autumn Court Healthcare Center Llc · NPI 1093651838
Assisted Living Facility organization in Mount Vernon, Missouri. Organization record, active in the CMS NPPES registry since April 24, 2026.
## Identity
- **NPI:** 1093651838 (Entity type: Organization)
- **Enumerated:** April 24, 2026
- **Primary specialty:** Assisted Living Facility · taxonomy 310400000X
- **Organization subpart:** No
- **Authorized official:** Joshua Williams, MANAGER
## Practice location
- **Address:** 1421 S LANDRUM ST, Mount Vernon, MO 65712-1912
- **Phone:** (417) 466-2549
## Record status
- **NPPES last updated:** April 24, 2026
- **CLIA laboratory certificates:** 1 on file
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Source: [NPI Profile](https://npiprofile.com/npi/1093651838) · Data from the CMS NPPES public registry.