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AUTUMN PARK ASSISTED LIVING LLC
NPI 1154951572
Assisted Living Facility in Washington, UT

Active since January 24, 2020
548 N 1100 E, WASHINGTON, UT 84780(435) 275-4458 Get Directions Write a Review

NPPES record last updated: April 14, 2020. Verified against the NPPES registry weekly; last sync: August 09, 2026.

Record update history: Apr 14, 2020, Jan 24, 2020 (2 updates tracked since 2020).

About Autumn Park Assisted Living Llc NPPES

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

AUTUMN PARK ASSISTED LIVING LLC (NPI 1154951572) is a healthcare organization registered as an assisted living facility in Washington, Utah and active in the NPI registry since January 2020. The organization lists Chris Holub, Administrator, as its authorized official.

NPPES Registry Identity

NPI1154951572
Entity TypeOrganization
Primary Taxonomy310400000X
Legal Business NameAUTUMN PARK ASSISTED LIVING LLC
Location Address548 N 1100 EWashington, UT 84780-2980
Mailing Address548 N 1100 EWashington, UT 84780-2980 · (435) 275-4458
Phone(435) 275-4458
Organization SubpartNo
Authorized OfficialChris HolubAdministrator · (435) 275-4458
Enumeration DateJanuary 24, 2020
Last NPPES UpdateApril 14, 20202 updates tracked since enumeration
NPPES CertifiedApril 14, 2020
✔ NPI 1154951572 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyAssisted Living FacilityNursing & Custodial Care Facilities
Taxonomy Code310400000X
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.
548 N 1100 E, Washington, UT 84780
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Other Providers at the Same Location NPPES 2

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

PATRICK R JACKMAN
Technician (Attendant Care Provider)
548 N 1100 E
WASHINGTON, UT 84780
Washington County (435) 275-4458
AUTUMN PARK INC
Assisted Living Facility
548 N 1100 E
WASHINGTON, UT 84780
Washington County (435) 275-4458

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 Park Assisted Living LLC's NPI number?

The NPI number for Autumn Park Assisted Living LLC is 1154951572. It was assigned to this organization in the NPPES registry on January 24, 2020.

Where is Autumn Park Assisted Living LLC located?

Autumn Park Assisted Living LLC is located at 548 N 1100 E, Washington, UT 84780. The listed phone number is (435) 275-4458.

What is Autumn Park Assisted Living LLC's specialty?

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

When was this NPI record last updated?

The NPPES record for Autumn Park Assisted Living LLC was last updated on April 14, 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.