AUTUMN RIDGE SENIOR LIVING, INC.
NPI 1699363135
Assisted Living Facility in Granbury, TX
About Autumn Ridge Senior Living, Inc. NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
AUTUMN RIDGE SENIOR LIVING, INC. (NPI 1699363135), doing business as Bridgewater Memory Care, is a healthcare organization registered as an assisted living facility in Granbury, Texas and active in the NPI registry since January 2021. The organization holds a CLIA Waiver certificate valid through December 14, 2026 and lists Lee Johnson, Treasurer, as its authorized official.
NPPES Registry Identity
Specialties & Licenses
Other Names 1
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 45D2205548
Autumn Ridge Senior Living, Inc Dba Bridgewater Memory Care · Granbury, TXFrequently 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 Ridge Senior Living, Inc.'s NPI number?
The NPI number for Autumn Ridge Senior Living, Inc. is 1699363135. It was assigned to this organization in the NPPES registry on January 8, 2021. The provider is doing business as Bridgewater Memory Care.
Where is Autumn Ridge Senior Living, Inc. located?
Autumn Ridge Senior Living, Inc. is located at 900 Autumn Ridge Dr, Granbury, TX 76048. The listed phone number is (817) 573-7720.
What is Autumn Ridge Senior Living, Inc.'s specialty?
The primary specialty registered for this NPI is Assisted Living Facility with taxonomy code 310400000X.
Does Autumn Ridge Senior Living, Inc. hold a CLIA laboratory certificate?
Yes. A Certificate of Waiver (number 45D2205548) is associated with this NPI, valid through December 14, 2026. 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 Ridge Senior Living, Inc. was last updated on January 8, 2021. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 5 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.
