AUTUMN GLEN SENIOR LIVING LLC
NPI 1508221136
Assisted Living Facility in Coon Rapids, MN

Q: What is Autumn Glen Senior Living LLC's NPI number?

The NPI number for Autumn Glen Senior Living LLC is 1508221136. It was assigned to this organization in the NPPES registry on December 26, 2015.

Q: What is Autumn Glen Senior Living LLC's specialty?

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

Active since December 26, 2015

3715 COON RAPIDS BLVD NW, COON RAPIDS, MN 55433(763) 772-4492(763) 746-4080 Get Directions Write a Review

NPPES record last updated: December 26, 2015. Verified against the NPPES registry weekly; last sync: August 02, 2026.

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About Autumn Glen Senior Living Llc NPPES

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

AUTUMN GLEN SENIOR LIVING LLC (NPI 1508221136) is a healthcare organization registered as an assisted living facility in Coon Rapids, Minnesota and active in the NPI registry since December 2015. The organization lists Kristin Neff, Chief Operations Officer, as its authorized official.

NPPES Registry Identity

NPI1508221136

Entity TypeOrganization

Primary Taxonomy310400000X

Legal Business NameAUTUMN GLEN SENIOR LIVING LLC

Location Address3715 COON RAPIDS BLVD NWCoon Rapids, MN 55433-2777

Mailing Address3715 Coon Rapids Blvd NwCoon Rapids, MN 55433-2777 · (763) 772-4492 · Fax (763) 746-4080

Phone(763) 772-4492

Fax(763) 746-4080

Organization SubpartNo

Authorized OfficialKristin NeffChief Operations Officer · (763) 241-4428

Enumeration DateDecember 26, 2015

✔ NPI 1508221136 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 MN · 372324

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.

3715 COON RAPIDS BLVD NW, Coon Rapids, MN 55433

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Other Providers at the Same Location NPPES

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

NEW WESTERN MANOR COMPANY LIMITED PARTNERSHIP

Assisted Living Facility

3715 COON RAPIDS BLVD NW
COON RAPIDS, MN 55433

Anoka County (763) 772-4492

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 Glen Senior Living LLC's NPI number?

The NPI number for Autumn Glen Senior Living LLC is 1508221136. It was assigned to this organization in the NPPES registry on December 26, 2015.

Where is Autumn Glen Senior Living LLC located?

Autumn Glen Senior Living LLC is located at 3715 Coon Rapids Blvd NW, Coon Rapids, MN 55433. The listed phone number is (763) 772-4492.

What is Autumn Glen Senior Living LLC'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 Glen Senior Living LLC was last updated on December 26, 2015. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 10 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.