AUTUMN WIND ASSISTED LIVING
NPI 1134630908
Assisted Living Facility in New Boston, TX

Q: What is M & B New Boston, LLC's NPI number?

The NPI number for M & B New Boston, LLC is 1134630908. It was assigned to this organization in the NPPES registry on October 19, 2017. The provider is doing business as Autumn Wind Assisted Living.

Q: What is M & B New Boston, LLC's specialty?

The primary specialty registered for this NPI is Assisted Living Facility with taxonomy code 310400000X.

Active since October 19, 2017CLIA 45D2231675 · Waiver

1 AUTUMN CIRCLE, NEW BOSTON, TX 75570(903) 628-0477(903) 628-0478 Get Directions Write a Review

NPPES record last updated: June 25, 2020. Verified against the NPPES registry weekly; last sync: August 02, 2026.

Record update history: Jun 25, 2020, Jun 20, 2018, Oct 19, 2017 (3 updates tracked since 2017).

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About Autumn Wind Assisted Living NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

AUTUMN WIND ASSISTED LIVING (NPI 1134630908) is a healthcare organization registered as an assisted living facility in New Boston, Texas and active in the NPI registry since October 2017. The organization holds a CLIA Waiver certificate valid through August 4, 2027 and lists Tracy L Ruffner, Administrator, as its authorized official.

NPPES Registry Identity

NPI1134630908

Entity TypeOrganization

Primary Taxonomy310400000X

Legal Business NameM & B NEW BOSTON, LLC

Location Address1 AUTUMN CIRCLENew Boston, TX 75570

Mailing Address1 Autumn CircleNew Boston, TX 75570 · (903) 628-0477 · Fax (903) 628-0478

Phone(903) 628-0477

Fax(903) 628-0478

Organization SubpartNo

Authorized OfficialTracy L RuffnerAdministrator · (903) 628-0477

Enumeration DateOctober 19, 2017

Last NPPES UpdateJune 25, 20203 updates tracked since enumeration

NPPES CertifiedJune 25, 2020

✔ NPI 1134630908 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyAssisted Living FacilityNursing & Custodial Care Facilities

Taxonomy Code310400000X

License✔ Licensed in TX · 107018

Definition

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.

1 AUTUMN CIRCLE, New Boston, TX 75570

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Other Names 1

Doing Business AsAutumn Wind Assisted Living

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 45D2231675

Autumn Wind Assisted Living New Boston · New Boston, TX

Active · expires Aug 4, 2027

CLIA Number45D2231675

Laboratory TypeAssisted Living Facility

Certificate Effective DateAugust 5, 2025

Certificate Expiration DateAugust 4, 2027

Laboratory DirectorTracy L. Garrett

Laboratory Phone(903) 628-0477

Laboratory LocationAutumn Wind Assisted Living New Boston1 Autumn Circle, New Boston, TX 75570

CLIA data matches this NPI record on: Address Name Phone

This certificate is issued to a laboratory to perform only waived tests.

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 M & B New Boston, LLC's NPI number?

The NPI number for M & B New Boston, LLC is 1134630908. It was assigned to this organization in the NPPES registry on October 19, 2017. The provider is doing business as Autumn Wind Assisted Living.

Where is M & B New Boston, LLC located?

M & B New Boston, LLC is located at 1 Autumn Circle, New Boston, TX 75570. The listed phone number is (903) 628-0477.

What is M & B New Boston, LLC's specialty?

The primary specialty registered for this NPI is Assisted Living Facility with taxonomy code 310400000X.

Does M & B New Boston, LLC hold a CLIA laboratory certificate?

Yes. A Certificate of Waiver (number 45D2231675) is associated with this NPI, valid through August 4, 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 M & B New Boston, LLC was last updated on June 25, 2020. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 6 years 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.