AUTUMN CARE LIVING CENTER (NPI# 1013308071) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1013308071 |
| Entity Type | Organization |
| Organization Name | AUTUMN CARE LIVING CENTER |
| Practice Address |
290 East 4000 North Hyde Park UT 83286 |
| Practice Telephone | 4355633333 |
| Practice Fax Number | 8885053891 |
| Mailing Telephone | 4355633333 |
| Mailing Fax Number | 8885053891 |
| Enumeration Date | 2015-02-12 |
| Last Update Date | 2018-04-23 |
| Authorized Official Name | XOCHITHL FRANKMAN (ADMINISTRATOR) |
| Authorized Official Telephone | 2084784782 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 311500000X | Alzheimer Center (Dementia Center) | AL-II- UT000673 | UT | Nursing & Custodial Care Facilities |
| Entity Type | Entity Name | Entity Address |
|---|---|---|
| System for Award Management (SAM) Entities | AUTUMN CARE LIVING CENTER | 290 E 4000 N, Hyde Park, UT 84318-4126 |
| Street Address |
290 EAST 4000 NORTH |
| City | HYDE PARK |
| State | UT |
| Zip Code | 83286 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1144698259 | Rashel Cushman | Home Health Aide | 47 E Depot St, Weston, ID 83286-4908 | 2015-09-04 |
| 1316310865 | Arthur Retirement Community LLC Home Health | Home Health | 47 E Depot St, Weston, ID 83286-4908 | 2015-11-05 |
| 1912208554 | Michael Malouf | Nurse Anesthetist, Certified Registered | 74 S Highway 36, Weston, ID 83286-5000 | 2010-11-12 |
| 1669837829 | Aneesa Malouf Beutler | Registered Nurse | 74 S Highway 36, Weston, ID 83286-5000 | 2015-12-15 |
| 1932513256 | Loving Hearts Phc | Home Health | 66 S Center St, Weston, ID 83286-5010 | 2014-06-13 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1780285064 | Farrah Jean | Behavior Technician | 25 Kovey Rd, Hyde Park, MA 02136-1210 | 2020-11-04 |
| 1619577871 | Natalie Natalie Diller | Registered Nurse | 609 4th Ave, Hyde Park, PA 15641-9703 | 2020-10-27 |
| 1538775309 | Edward Earl Anderson Jr. | Community Health Worker | 64 Poydras St, Hyde Park, MA 02136-6419 | 2020-09-17 |
| 1093320103 | Kimberly Remondi | Counselor | 190 Sherrin St, Hyde Park, MA 02136-1852 | 2020-09-15 |
| 1407468739 | Ebako Henry Mesumbe | Nurse's Aide | 60 Oak St, Hyde Park, MA 02136-2745 | 2020-08-18 |
| 1124639877 | New Hope Health Care LLC | Home Health | 51 Blake St, Hyde Park, MA 02136-6061 | 2020-08-14 |
| 1063020261 | Janice T. Buziak-smith | Speech-Language Pathologist | 30 Lochland Rd, Hyde Park, MA 02136-4008 | 2020-07-14 |
| 1396363586 | Priscilla Akosua Amoah | Behavior Technician | 145 Navarre St Apt 31b, Hyde Park, MA 02136-2244 | 2020-07-14 |
| 1225655871 | Sasha Fleary | Psychologist | 28 Walter St, Hyde Park, MA 02136-2973 | 2020-06-30 |
| 1659998201 | Laura Mack Dewey | Counselor | 2753 Centerville Rd, Hyde Park, VT 05655-9452 | 2020-06-30 |
| Find all providers in HYDE PARK | ||||
| Taxonomy Code | 311500000X |
| Grouping | Nursing & Custodial Care Facilities |
| Classification | Alzheimer Center (Dementia Center) |
| A freestanding facility or special care unit of a long term care facility focusing on patient care of individuals diagnosed with dementia or Alzheimer’s Disease or their related diseases. Six elements of the facility/unit set it apart from other (the rest of the) facilities(y): Admission of residents with dementia (including those with Alzheimer's disease); Staff who are specially selected, trained, and supervised; Activities that are specifically designed for the cognitively impaired; A marketing of a special care unit in brochures; A high level of family involvement; and A physical environment designed to keep residents safe and segregated from other populations. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1891393930 | Sh1 Barrington Place LLC | Alzheimer Center (Dementia Center) | 1404 N 2000 W, Clinton, UT 84015-8364 | 2020-10-12 |
| 1881292936 | South Jordan Care Group LLC | Alzheimer Center (Dementia Center) | 2664 W 11400 S, South Jordan, UT 84095-1229 | 2020-10-12 |
| 1144875766 | Picnic Creek LLC | Alzheimer Center (Dementia Center) | 1407 S 2000 W, Syracuse, UT 84075-6935 | 2019-08-09 |
| 1124565619 | Ms - Ac Sunbrook Senior Living LLC | Alzheimer Center (Dementia Center) | 359 N Dixie Dr, St George, UT 84770-7039 | 2017-01-23 |
| 1164876041 | Grizzly Peak Assisted Living, LLC | Alzheimer Center (Dementia Center) | 126 W 1550 S, Perry, UT 84302-4277 | 2016-04-18 |
| 1477958353 | Chp Layton Ut Tenant Corp. | Alzheimer Center (Dementia Center) | 1201 N Fairfield Rd, Layton, UT 84041-8321 | 2014-11-04 |
| 1013285683 | Spring Gardens At Red Cliffs Lc | Alzheimer Center (Dementia Center) | 2654 East Red Cliffs Drive, Spring Gardens Senior Living, St George, UT 84790 | 2011-12-09 |
| 1881866499 | Legacy Village Healthcare LLC | Alzheimer Center (Dementia Center) | 5472 S 3200 W, Taylorsville, UT 84129-7804 | 2008-03-24 |
| 1972621456 | St George Senior Living LLC | Alzheimer Center (Dementia Center) | 134 W 2025 South Circle, Saint George, UT 84770-8741 | 2007-03-26 |
| 1639296429 | Emerald Pointe Assisted Living & Memory Care LLC | Alzheimer Center (Dementia Center) | 995 South Regency Road, Cedar City, UT 84720-1848 | 2007-03-25 |
| Find all providers with the same taxonomy | ||||
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| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.