AUTUMN HOUSE
NPI 1831508241
Assisted Living Facility - Assisted Living, Mental Illness in St Petersburg, FL

Q: What is Autumn House's NPI number?

The NPI number for Autumn House is 1831508241. It was assigned to this organization in the NPPES registry on August 11, 2014.

Q: What is Autumn House's specialty?

The primary specialty registered for this NPI is Assisted Living Facility, specializing in Assisted Living, Mental Illness, with taxonomy code 3104A0625X.

Q: When was this NPI record last updated?

The NPPES record for Autumn House was last updated on August 11, 2014. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 12 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.

Active since August 11, 2014

880 17TH AVE S, ST PETERSBURG, FL 33701(727) 564-4956 Get Directions Write a Review

NPPES record last updated: August 11, 2014. Verified against the NPPES registry weekly; last sync: August 09, 2026.

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About Autumn House NPPES

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

AUTUMN HOUSE (NPI 1831508241) is a healthcare organization registered as an assisted living, mental illness in St Petersburg, Florida and active in the NPI registry since August 2014. The organization lists Daniel Parks, Administrator, as its authorized official.

NPPES Registry Identity

NPI1831508241

Entity TypeOrganization

Primary Taxonomy3104A0625X

Legal Business NameAUTUMN HOUSE

Location Address880 17TH AVE SSt Petersburg, FL 33701-5716

Mailing Address880 17th Ave SSt Petersburg, FL 33701-5716 · (727) 564-4956 · Fax (727) 823-6163

Phone(727) 564-4956

Organization SubpartNo

Authorized OfficialDaniel ParksAdministrator · (727) 564-4956

Enumeration DateAugust 11, 2014

✔ NPI 1831508241 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyAssisted Living Facility · Assisted Living, Mental IllnessNursing & Custodial Care Facilities

Taxonomy Code3104A0625X

License✔ Licensed in FL · AL6677

Definition

A facility providing supportive services to individuals who can function independently in most areas of activity, but need special guidance, assistance and/or monitoring as the result of a psychiatric problem. This type of facility requires a staff with special training in mental health training and dealing with psychiatric emergencies.

880 17TH AVE S, St Petersburg, FL 33701

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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 House's NPI number?

The NPI number for Autumn House is 1831508241. It was assigned to this organization in the NPPES registry on August 11, 2014.

Where is Autumn House located?

Autumn House is located at 880 17th Ave S, St Petersburg, FL 33701. The listed phone number is (727) 564-4956.

What is Autumn House's specialty?

The primary specialty registered for this NPI is Assisted Living Facility, specializing in Assisted Living, Mental Illness, with taxonomy code 3104A0625X.

When was this NPI record last updated?

The NPPES record for Autumn House was last updated on August 11, 2014. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 12 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.