AUTUMN LAKE LLC
NPI 1255812582
Home Health in Baton Rouge, LA

Q: What is Autumn Lake LLC's NPI number?

The NPI number for Autumn Lake LLC is 1255812582. It was assigned to this organization in the NPPES registry on August 24, 2018.

Q: What is Autumn Lake LLC's specialty?

The primary specialty registered for this NPI is Home Health with taxonomy code 251E00000X.

Q: When was this NPI record last updated?

The NPPES record for Autumn Lake LLC was last updated on August 24, 2018. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 7 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.

Active since August 24, 2018

11758 S HARRELLS FERRY RD STE C, BATON ROUGE, LA 70816(225) 400-4300 Get Directions Write a Review

NPPES record last updated: August 24, 2018. Verified against the NPPES registry weekly; last sync: August 09, 2026.

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About Autumn Lake Llc NPPES

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

AUTUMN LAKE LLC (NPI 1255812582) is a healthcare organization registered as a home health in Baton Rouge, Louisiana and active in the NPI registry since August 2018. The organization lists Cristal Riley, Hr, as its authorized official.

NPPES Registry Identity

NPI1255812582

Entity TypeOrganization

Primary Taxonomy251E00000X

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

Phone(225) 400-4300

Organization SubpartNo

Authorized OfficialCristal RileyHr · (225) 400-4300

Enumeration DateAugust 24, 2018

✔ NPI 1255812582 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyHome HealthAgencies

Taxonomy Code251E00000X

Definition

A public agency or private organization, or a subdivision of such an agency or organization, that is primarily engaged in providing skilled nursing services and other therapeutic services, such as physical therapy, speech-language pathology services, or occupational therapy, medical social services, and home health aide services. It has policies established by a professional group associated with the agency or organization (including at least one physician and one registered nurse) to govern the services and provides for supervision of such services by a physician or a registered nurse; maintains clinical records on all patients; is licensed in accordance with State or local law or is approved by the State or local licensing agency as meeting the licensing standards, where applicable; and meets other conditions found by the Secretary of Health and Human Services to be necessary for health and safety.

11758 S HARRELLS FERRY RD STE C, Baton Rouge, LA 70816

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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)