GRAND RIVER SENIOR LIVING LLC
NPI 1891514410
Assisted Living Facility in Green Bay, WI

Active since October 09, 2024
2626 FINGER RD, GREEN BAY, WI 54302(920) 469-2606 Get Directions Write a Review

NPPES record last updated: November 19, 2025. Verified against the NPPES registry weekly; last sync: July 19, 2026.

Record update history: Nov 19, 2025, Jun 12, 2025, Oct 9, 2024 (3 updates tracked since 2024).

About Grand River Senior Living Llc NPPES

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

GRAND RIVER SENIOR LIVING LLC (NPI 1891514410), doing business as Autumn Embers Senior Living, is a healthcare organization registered as an assisted living facility in Green Bay, Wisconsin and active in the NPI registry since October 2024. The organization lists Amber Tueller, Secretary, as its authorized official.

NPPES Registry Identity

NPI1891514410
Entity TypeOrganization
Primary Taxonomy310400000X
Legal Business NameGRAND RIVER SENIOR LIVING LLC
Location Address2626 FINGER RDGreen Bay, WI 54302-4821
Mailing Address2626 Finger RdGreen Bay, WI 54302-4821 · (920) 469-2606
Organization SubpartNo
Authorized OfficialAmber TuellerSecretary · (208) 207-2726
Enumeration DateOctober 9, 2024
Last NPPES UpdateNovember 19, 20253 updates tracked since enumeration
NPPES CertifiedNovember 19, 2025
NPI 1891514410 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.

2626 FINGER RD, Green Bay, WI 54302

Other Names 1

Doing Business AsAutumn Embers Senior Living

Frequently Asked Questions

The NPI number assigned to this healthcare provider is 1891514410, enumerated as an "organization" on October 09, 2024.

The provider is located at 2626 FINGER RD GREEN BAY, WI 54302 and the phone number is (920) 469-2606.

Assisted Living Facility with taxonomy code 310400000X.