AUTUMN VILLA
NPI 1326267063
Assisted Living Facility in Cumberland, RI

Active since April 24, 2007CLIA 41D1068182 · Waiver
3579 DIAMOND HILL RD, CUMBERLAND, RI 02864(401) 333-5050 Get Directions Write a Review

NPPES record last updated: August 22, 2020. Verified against the NPPES registry weekly; last sync: August 16, 2026.

About Autumn Villa NPPES

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

AUTUMN VILLA (NPI 1326267063) is a healthcare organization registered as an assisted living facility in Cumberland, Rhode Island and active in the NPI registry since April 2007. The organization holds a CLIA Waiver certificate valid through May 3, 2027 and lists Marcia Lee Durocher, Administrator, as its authorized official.

NPPES Registry Identity

NPI1326267063
Entity TypeOrganization
Primary Taxonomy310400000X
Legal Business NameAUTUMN VILLA INC.
Location Address3579 DIAMOND HILL RDCumberland, RI 02864-1614
Mailing Address3579 Diamond Hill RdCumberland, RI 02864-1614 · (401) 333-5050
Organization SubpartNo
Authorized OfficialMarcia Lee DurocherAdministrator · (401) 333-5050
Enumeration DateApril 24, 2007
Last NPPES UpdateAugust 22, 2020
NPI 1326267063 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 RI · ALR01416
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.
3579 DIAMOND HILL RD, Cumberland, RI 02864

Other Names 1

Doing Business AsAutumn Villa

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 41D1068182

Autumn Villa Assisted Living · Cumberland, RI
Active · expires May 3, 2027
CLIA Number41D1068182
Laboratory TypeOther
Certificate Effective DateMay 4, 2025
Certificate Expiration DateMay 3, 2027
Laboratory DirectorMarcia L. Durocher
Laboratory Phone(401) 333-5050
Laboratory LocationAutumn Villa Assisted Living3579 Diamond Hill Road, Cumberland, RI 02864
CLIA data matches this NPI record on: Address Name Phone
This certificate is issued to a laboratory to perform only waived tests.

Other Providers at the Same Location NPPES

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

Non-emergency Medical Transport (VAN)
3579 DIAMOND HILL RD
CUMBERLAND, RI 02864

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 Villa Inc.'s NPI number?

The NPI number for Autumn Villa Inc. is 1326267063. It was assigned to this organization in the NPPES registry on April 24, 2007. The provider is doing business as Autumn Villa.

Where is Autumn Villa Inc. located?

Autumn Villa Inc. is located at 3579 Diamond Hill Rd, Cumberland, RI 02864. The listed phone number is (401) 333-5050.

What is Autumn Villa Inc.'s specialty?

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

Does Autumn Villa Inc. hold a CLIA laboratory certificate?

Yes. A Certificate of Waiver (number 41D1068182) is associated with this NPI, valid through May 3, 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 Villa Inc. was last updated on August 22, 2020. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 5 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.