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AUTUMN LAKE LLC
NPI 1245961291
Homemaker in Baton Rouge, LA

Active since June 21, 2022
11758 S HARRELLS FERRY RD STE C, BATON ROUGE, LA 70816(225) 246-2740(225) 367-4687 Get Directions Write a Review

NPPES record last updated: June 21, 2022. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Autumn Lake Llc NPPES

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

AUTUMN LAKE LLC (NPI 1245961291) is a healthcare organization registered as a homemaker in Baton Rouge, Louisiana and active in the NPI registry since June 2022. The organization lists Cristal Riley, Coo, as its authorized official.

NPPES Registry Identity

NPI1245961291
Entity TypeOrganization
Primary Taxonomy376J00000X
Legal Business NameAUTUMN LAKE LLC
Location Address11758 S HARRELLS FERRY RD STE CBaton Rouge, LA 70816-2365
Mailing Address11758 S Harrells Ferry Rd Ste CBaton Rouge, LA 70816-2365 · (225) 246-2740
Phone(225) 246-2740
Fax(225) 367-4687
Organization SubpartNo
Authorized OfficialCristal RileyCoo · (225) 888-5881
Enumeration DateJune 21, 2022
NPPES CertifiedJune 21, 2022
✔ NPI 1245961291 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyHomemakerNursing Service Related Providers
Taxonomy Code376J00000X
Definition
An individual who provides general household activities such as meal preparation, laundry, and light housekeeping, when the individual regularly responsible for these activities is temporarily absent or unable to provide for himself. Homemakers must meet the state defined training standards.
11758 S HARRELLS FERRY RD STE C, Baton Rouge, LA 70816
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Group Practice 1

Group TaxonomyThis provdier is a business group of one or more individual practitioners, all of who practice with the same area of specialization.193400000X SINGLE SPECIALTY GROUP

Other Providers at the Same Location NPPES 20

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

NICOLE BROWN
Technician (Personal Care Attendant)
11758 S HARRELLS FERRY RD STE C
BATON ROUGE, LA 70816
East Baton Rouge Parish (225) 246-2740
CAROLYN RUCKER
Technician (Personal Care Attendant)
11758 S HARRELLS FERRY RD STE C
BATON ROUGE, LA 70816
East Baton Rouge Parish (225) 246-2740
PRECIOUS BUTLER
Technician (Personal Care Attendant)
11758 S HARRELLS FERRY RD STE C
BATON ROUGE, LA 70816
East Baton Rouge Parish (225) 246-2740
TYDASIA ALFRED
Technician (Personal Care Attendant)
11758 S HARRELLS FERRY RD STE C
BATON ROUGE, LA 70816
East Baton Rouge Parish (225) 888-5881
AUTUMN COMMUNITY CARE LLC
Home Health
11758 S HARRELLS FERRY RD STE C
BATON ROUGE, LA 70816
East Baton Rouge Parish (225) 400-4300
AUTUMN LAKE LLC
Home Health
11758 S HARRELLS FERRY RD STE C
BATON ROUGE, LA 70816
East Baton Rouge Parish (225) 400-4300
JAMIE STEVENSON
Technician (Personal Care Attendant)
11758 S HARRELLS FERRY RD STE C
BATON ROUGE, LA 70816
East Baton Rouge Parish (225) 246-2740
AUTUMN LAKE LLC
In Home Supportive Care
11758 S HARRELLS FERRY RD STE C
BATON ROUGE, LA 70816
East Baton Rouge Parish (225) 246-2740

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 Lake LLC's NPI number?

The NPI number for Autumn Lake LLC is 1245961291. It was assigned to this organization in the NPPES registry on June 21, 2022.

Where is Autumn Lake LLC located?

Autumn Lake LLC is located at 11758 S Harrells Ferry Rd Ste C, Baton Rouge, LA 70816. The listed phone number is (225) 246-2740.

What is Autumn Lake LLC's specialty?

The primary specialty registered for this NPI is Homemaker with taxonomy code 376J00000X.

When was this NPI record last updated?

The NPPES record for Autumn Lake LLC was last updated on June 21, 2022. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 4 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.