1. Home
  2. Directory
  3. Mississippi
  4. Gulfport
  5. Home Health
  6. NPI Profile

AUTUMN VIEW OUTREACH AND DEVELOPMENT
NPI 1497170260
Home Health in Gulfport, MS

Active since March 03, 2014
400 LEGG DR, GULFPORT, MS 39503(228) 547-4424 Get Directions Write a Review

NPPES record last updated: March 3, 2014. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Autumn View Outreach And Development NPPES

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

AUTUMN VIEW OUTREACH AND DEVELOPMENT (NPI 1497170260) is a healthcare organization registered as a home health in Gulfport, Mississippi and active in the NPI registry since March 2014. The organization lists Kwantrell Green, President, as its authorized official.

NPPES Registry Identity

NPI1497170260
Entity TypeOrganization
Primary Taxonomy251E00000X
Legal Business NameAUTUMN VIEW OUTREACH AND DEVELOPMENT
Location Address400 LEGG DRGulfport, MS 39503-3352
Mailing AddressPo Box 3162Gulfport, MS 39505-3162
Phone(228) 547-4424
Organization SubpartNo
Authorized OfficialKwantrell GreenPresident · (228) 547-4424
Enumeration DateMarch 3, 2014
✔ NPI 1497170260 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyHome HealthAgencies
Taxonomy Code251E00000X
License✔ Licensed in MS · 01541356
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.
Also ListedClinic/Center · Adult Day CareTaxonomy 261QA0600X · License 03873054 (MS)
400 LEGG DR, Gulfport, MS 39503
Open in Google Maps ↗

Other Identifiers 2

Medicaid03873054MS
Medicaid01541356MS

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 View Outreach And Development's NPI number?

The NPI number for Autumn View Outreach And Development is 1497170260. It was assigned to this organization in the NPPES registry on March 3, 2014.

Where is Autumn View Outreach And Development located?

Autumn View Outreach And Development is located at 400 Legg Dr, Gulfport, MS 39503. The listed phone number is (228) 547-4424.

What is Autumn View Outreach And Development's specialty?

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

When was this NPI record last updated?

The NPPES record for Autumn View Outreach And Development was last updated on March 3, 2014. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 12 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.