AUTUMN PARK INC
NPI 1487167805
Assisted Living Facility in Washington, UT

Active since November 07, 2017
548 N 1100 E, WASHINGTON, UT 84780(435) 275-4458 Get Directions Write a Review

NPPES record last updated: November 7, 2017. Verified against the NPPES registry weekly; last sync: July 26, 2026.

About Autumn Park Inc NPPES

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

AUTUMN PARK INC (NPI 1487167805) is a healthcare organization registered as an assisted living facility in Washington, Utah and active in the NPI registry since November 2017. The organization lists Patrick R Jackman, Owner, as its authorized official.

NPPES Registry Identity

NPI1487167805
Entity TypeOrganization
Primary Taxonomy310400000X
Legal Business NameAUTUMN PARK INC
Location Address548 N 1100 EWashington, UT 84780-2980
Mailing AddressPo Box 911415St George, UT 84791-1415 · (435) 275-4458
Organization SubpartNo
Authorized OfficialPatrick R JackmanOwner · (435) 275-4458
Enumeration DateNovember 7, 2017
NPI 1487167805 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 UT · 000820
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

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.

Assisted Living Facility
548 N 1100 E
WASHINGTON, UT 84780
Technician (Attendant Care Provider)
548 N 1100 E
WASHINGTON, UT 84780

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 Inc's NPI number?

The NPI number for Autumn Park Inc is 1487167805. It was assigned to this organization in the NPPES registry on November 7, 2017.

Where is Autumn Park Inc located?

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

What is Autumn Park Inc'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 Inc was last updated on November 7, 2017. NPI Profile syncs with the weekly NPPES data releases published by CMS.