AUTUMN LAKE LLC
NPI 1699153205
In Home Supportive Care in Baton Rouge, LA

Q: What is Autumn Lake LLC's NPI number?

The NPI number for Autumn Lake LLC is 1699153205. It was assigned to this organization in the NPPES registry on May 14, 2015.

Q: What is Autumn Lake LLC's specialty?

The primary specialty registered for this NPI is In Home Supportive Care with taxonomy code 253Z00000X.

Q: When was this NPI record last updated?

The NPPES record for Autumn Lake LLC was last updated on August 26, 2019. NPI Profile syncs with the weekly NPPES data releases published by CMS.

Active since May 14, 2015

11758 S HARRELLS FERRY RD STE C, BATON ROUGE, LA 70816(225) 246-2740(225) 367-4687 Get Directions Write a Review

NPPES record last updated: August 26, 2019. Verified against the NPPES registry weekly; last sync: July 19, 2026.

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About Autumn Lake Llc NPPES

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

AUTUMN LAKE LLC (NPI 1699153205) is a healthcare organization registered as an in home supportive care in Baton Rouge, Louisiana and active in the NPI registry since May 2015. The organization maintains a secondary practice location in Baton Rouge and lists Cristal Riley, Coo, as its authorized official.

NPPES Registry Identity

NPI1699153205

Entity TypeOrganization

Primary Taxonomy253Z00000X

Legal Business NameAUTUMN LAKE LLC

Location Address11758 S HARRELLS FERRY RD STE CBaton Rouge, LA 70816-2365

Mailing Address11758 S Harrells Ferry Rd Ste CBaton Rouge, LA 70816-2365 · (225) 246-2740 · Fax (225) 367-4687

Phone(225) 246-2740

Fax(225) 367-4687

Organization SubpartNo

Authorized OfficialCristal RileyCoo · (225) 246-2740

Enumeration DateMay 14, 2015

Last NPPES UpdateAugust 26, 2019

✔ NPI 1699153205 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyIn Home Supportive CareAgencies

Taxonomy Code253Z00000X

Definition

An In Home Supportive Care Agency provides services in the patient's home with the goal of enabling the patient to remain at home. The services provided may include personal care services such as hands-on assistance with activities of daily living (ADLs), e.g., eating, bathing, dressing, and bladder and bowel requirements; homemaker services and instrumental activities of daily living (IADLs), e.g., taking medications, shopping for groceries, laundry, housekeeping, and companionship; and/or supervision or cuing so that a person can perform tasks themselves.

11758 S HARRELLS FERRY RD STE C, Baton Rouge, LA 70816

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Secondary Practice Location 1

Location 15215 Essen Ln Ste 5Baton Rouge, LA 70809-3563 · Phone (225) 751-2409 · Fax (225) 751-2466

Other Identifiers 1

Medicaid1720500LA

Other Providers at the Same Location NPPES 20

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

AUTUMN COMMUNITY CARE LLC

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