AUTUMN LIVING SOUTH
NPI 1679784300
Assisted Living Facility in Greenfield, WI

Active since May 24, 2007CLIA 52D0984096 · Waiver
4340 S 116TH ST, GREENFIELD, WI 53228(414) 708-5679(414) 425-5543 Get Directions Write a Review

NPPES record last updated: December 4, 2024. Verified against the NPPES registry weekly; last sync: August 02, 2026.

Record update history: Dec 4, 2024, Aug 22, 2020 (2 updates tracked since 2020).

About Autumn Living South NPPES

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

AUTUMN LIVING SOUTH (NPI 1679784300) is a healthcare organization registered as an assisted living facility in Greenfield, Wisconsin and active in the NPI registry since May 2007. The organization holds a CLIA Waiver certificate valid through March 12, 2027 and lists Allen K Schoenleber, Owner, as its authorized official.

NPPES Registry Identity

NPI1679784300
Entity TypeOrganization
Primary Taxonomy310400000X
Legal Business NameAUTUMN LIVING INC
Location Address4340 S 116TH STGreenfield, WI 53228-2573
Mailing AddressPo Box 182Hales Corners, WI 53130-0182
Fax(414) 425-5543
Organization SubpartNo
Authorized OfficialAllen K SchoenleberOwner · (414) 708-5679
Enumeration DateMay 24, 2007
Last NPPES UpdateDecember 4, 20242 updates tracked since enumeration
NPPES CertifiedDecember 4, 2024
NPI 1679784300 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.
4340 S 116TH ST, Greenfield, WI 53228

Other Names 1

Doing Business AsAutumn Living South

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 52D0984096

Autumn Living Inc · Greenfield, WI
Active · expires Mar 12, 2027
CLIA Number52D0984096
Laboratory TypeOther
Certificate Effective DateMarch 13, 2025
Certificate Expiration DateMarch 12, 2027
Laboratory DirectorMs. Lauren M. Baltz
Laboratory Phone(414) 425-5532
Laboratory LocationAutumn Living Inc4340 S 116 St, Greenfield, WI 53228
CLIA data matches this NPI record on: Name
This certificate is issued to a laboratory to perform only waived tests.

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 Living Inc's NPI number?

The NPI number for Autumn Living Inc is 1679784300. It was assigned to this organization in the NPPES registry on May 24, 2007. The provider is doing business as Autumn Living South.

Where is Autumn Living Inc located?

Autumn Living Inc is located at 4340 S 116th St, Greenfield, WI 53228. The listed phone number is (414) 708-5679.

What is Autumn Living Inc's specialty?

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

Does Autumn Living Inc hold a CLIA laboratory certificate?

Yes. A Certificate of Waiver (number 52D0984096) is associated with this NPI, valid through March 12, 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 Living Inc was last updated on December 4, 2024. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 20 months 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.