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

Q: What is Grand River Senior Living LLC's NPI number?

The NPI number for Grand River Senior Living LLC is 1891514410. It was assigned to this organization in the NPPES registry on October 9, 2024. The provider is doing business as Autumn Embers Senior Living.

Q: What is Grand River Senior Living LLC's specialty?

The primary specialty registered for this NPI is Assisted Living Facility with taxonomy code 310400000X.

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: August 16, 2026.

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

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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

Phone(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

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Other Names 1

Doing Business AsAutumn Embers Senior Living

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 Grand River Senior Living LLC's NPI number?

The NPI number for Grand River Senior Living LLC is 1891514410. It was assigned to this organization in the NPPES registry on October 9, 2024. The provider is doing business as Autumn Embers Senior Living.

Where is Grand River Senior Living LLC located?

Grand River Senior Living LLC is located at 2626 Finger Rd, Green Bay, WI 54302. The listed phone number is (920) 469-2606.

What is Grand River Senior Living LLC's specialty?

The primary specialty registered for this NPI is Assisted Living Facility with taxonomy code 310400000X.

When was this NPI record last updated?

The NPPES record for Grand River Senior Living LLC was last updated on November 19, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 9 months 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.