AUTUMN BLISS HOME LLC
NPI 1669236626
Assisted Living Facility in Fontana, CA

Q: What is Autumn Bliss Home LLC's NPI number?

The NPI number for Autumn Bliss Home LLC is 1669236626. It was assigned to this organization in the NPPES registry on February 9, 2024.

Q: What is Autumn Bliss Home LLC's specialty?

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

Active since February 09, 2024

17885 ATHOL ST, FONTANA, CA 92335(626) 373-7619 Get Directions Write a Review

NPPES record last updated: February 9, 2024. Verified against the NPPES registry weekly; last sync: August 16, 2026.

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About Autumn Bliss Home Llc NPPES

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

AUTUMN BLISS HOME LLC (NPI 1669236626) is a healthcare organization registered as an assisted living facility in Fontana, California and active in the NPI registry since February 2024. The organization lists Regine Enriquez, Licensee, as its authorized official.

NPPES Registry Identity

NPI1669236626

Entity TypeOrganization

Primary Taxonomy310400000X

Legal Business NameAUTUMN BLISS HOME LLC

Location Address17885 ATHOL STFontana, CA 92335-5127

Mailing Address17885 Athol StFontana, CA 92335-5127 · (626) 373-7619

Phone(626) 373-7619

Organization SubpartNo

Authorized OfficialRegine EnriquezLicensee · (626) 373-7619

Enumeration DateFebruary 9, 2024

NPPES CertifiedFebruary 9, 2024

✔ NPI 1669236626 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyAssisted Living FacilityNursing & Custodial Care Facilities

Taxonomy Code310400000X

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.

17885 ATHOL ST, Fontana, CA 92335

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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.

AMENAH SENIOR HOMES LLC

Assisted Living Facility

17885 ATHOL ST
FONTANA, CA 92335

San Bernardino County (205) 777-9144

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 Bliss Home LLC's NPI number?

The NPI number for Autumn Bliss Home LLC is 1669236626. It was assigned to this organization in the NPPES registry on February 9, 2024.

Where is Autumn Bliss Home LLC located?

Autumn Bliss Home LLC is located at 17885 Athol St, Fontana, CA 92335. The listed phone number is (626) 373-7619.

What is Autumn Bliss Home 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 Bliss Home LLC was last updated on February 9, 2024. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 2 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.