AUTUMN VILLAGE, INC.
NPI 1851736540
Assisted Living Facility - Assisted Living, Mental Illness in Jacksonville, FL

Q: What is Autumn Village, Inc.'s NPI number?

The NPI number for Autumn Village, Inc. is 1851736540. It was assigned to this organization in the NPPES registry on May 8, 2013.

Q: What is Autumn Village, Inc.'s specialty?

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

Active since May 08, 2013

1103 BARRS STREET, JACKSONVILLE, FL 32204(904) 384-7506(904) 384-7279 Get Directions Write a Review

NPPES record last updated: May 8, 2013. Verified against the NPPES registry weekly; last sync: August 16, 2026.

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About Autumn Village, Inc. NPPES

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

AUTUMN VILLAGE, INC. (NPI 1851736540) is a healthcare organization registered as an assisted living, mental illness in Jacksonville, Florida and active in the NPI registry since May 2013. The organization lists Alexandra Carpenter, Director Of Admissions, as its authorized official.

NPPES Registry Identity

NPI1851736540

Entity TypeOrganization

Primary Taxonomy3104A0625X

Legal Business NameAUTUMN VILLAGE, INC.

Location Address1103 BARRS STREETJacksonville, FL 32204

Mailing Address1103 Barrs StJacksonville, FL 32204-4220 · (904) 384-7506 · Fax (904) 384-7279

Phone(904) 384-7506

Fax(904) 384-7279

Organization SubpartNo

Authorized OfficialAlexandra CarpenterDirector Of Admissions · (904) 384-7506

Enumeration DateMay 8, 2013

✔ NPI 1851736540 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 · AL5221

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.

1103 BARRS STREET, Jacksonville, FL 32204

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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 Village, Inc.'s NPI number?

The NPI number for Autumn Village, Inc. is 1851736540. It was assigned to this organization in the NPPES registry on May 8, 2013.

Where is Autumn Village, Inc. located?

Autumn Village, Inc. is located at 1103 Barrs Street, Jacksonville, FL 32204. The listed phone number is (904) 384-7506.

What is Autumn Village, Inc.'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 Village, Inc. was last updated on May 8, 2013. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 13 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.