AUTUMN RIDGE, L.P. (NPI# 1679927016) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1679927016 |
| Entity Type | Organization |
| Organization Name | AUTUMN RIDGE, L.P. |
| Practice Address |
14280 W Stanislaus Autumn Ridge Lp Kerman CA 93630 |
| Mailing Address |
Po Box 1134 Reedley CA 93654-1134 |
| Practice Telephone | 5598427727 |
| Mailing Telephone | 5593047095 |
| Enumeration Date | 2016-04-22 |
| Last Update Date | 2016-04-22 |
| Authorized Official Name | MR. BARRY W BYERS (PRESIDENT) |
| Authorized Official Telephone | 5593047095 |
| Authorized Official Credential | NHA, MPA |
| Is Organization Subpart | Y |
| Parent Organization Name | TRINITY RETIREMENT SERVICES, INC. |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 3104A0630X |
Assisted Living Facility Specialization: Assisted Living, Behavioral Disturbances |
========= | CA | Nursing & Custodial Care Facilities |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1023400389 | Autumn Ridge, L.p. | Alzheimer Center (Dementia Center) | 14280 W Stanislaus Ave, Kerman, CA 93630-1594 | 2015-02-24 |
| 1831553114 | Autumn Ridge, L.p. | Assisted Living Facility | 14280 W Stanislaus Ave, Kerman, CA 93630-1594 | 2016-04-12 |
| Entity Type | Entity Name | Entity Address |
|---|---|---|
| Indiana Business Entities | AUTUMN RIDGE, L.P. | 2905 Northwest Blvd, Ste 150, Plymouth, MN 55441 |
| Street Address |
14280 W STANISLAUS AUTUMN RIDGE LP |
| City | KERMAN |
| State | CA |
| Zip Code | 93630 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1144883018 | Courtney Paige Miller | Pharmacist | 14967 W. Whitesbridge Ave., Kerman, CA 93630 | 2019-04-17 |
| 1194068379 | Valley Health Team Inc | Clinic/Center | 702 S. Eighth Street, Kerman, CA 93630 | 2013-04-05 |
| 1770870743 | Maria Blancarte Stevens | Psychologist | 702 S. 8th St., Kerman, CA 93630 | 2011-06-29 |
| 1245556281 | Garfield Beach Cvs, L.L.C. | Durable Medical Equipment & Medical Supplies | 14967 W. Whitesbridge Ave, Kerman, CA 93630 | 2010-04-15 |
| 1295850006 | Ronald Mavin Georgeson | Dentist | 181 S Madera, Kerman, CA 93630 | 2007-03-20 |
| 1780734459 | Fidel Garibay | Counselor | 245 S. Madera Ave, Kerman, CA 93630 | 2007-01-12 |
| 1255432191 | Hari Jacob | Dentist | 184 S Madera Ave, Kerman, CA 93630 | 2006-09-25 |
| 1851373401 | United Health Centers of The San Joaquin Valley | Clinic/Center | 517 S Madera Ave, Kerman, CA 93630 | 2005-11-18 |
| 1306247978 | Tony Nguyen | Pharmacist | 14061 W Whitesbridge Ave, Kerman, CA 93630 | 2014-09-14 |
| 1609214337 | Wal-mart Stores, Inc. | Technician/Technologist | 14061 W Whitesbridge Ave, Kerman, CA 93630 | 2013-06-04 |
| Find all providers in zip 93630 | ||||
| Taxonomy Code | 3104A0630X |
| Grouping | Nursing & Custodial Care Facilities |
| Classification | Assisted Living Facility |
| Specialization | Assisted Living, Behavioral Disturbances |
| A facility providing supportive services to individuals who can function independently in most areas of activity, but exhibit abnormal behavioral responses and habits and therefore need special guidance, assistance and/or monitoring to assure safety and well being. This type of facility requires a staff with special training in dealing with and redirecting negative, violent or destructive behaviors. |
| Notes: [7/1/2003: new] |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1992337448 | Karteena's Rcfe | Assisted Living Facility | 20019 Midtown Ave, Carson, CA 90746-3119 | 2020-02-12 |
| 1558892760 | Beit Hillel Sobriety, Inc. | Assisted Living Facility | 1653 S Rimpau Blvd, Los Angeles, CA 90019-5658 | 2017-03-21 |
| 1154778850 | The Heathers Senior Care, Inc | Assisted Living Facility | 1565 Wintergreen Pl, Costa Mesa, CA 92626-2524 | 2016-05-23 |
| 1437512571 | Friendship Care Home | Assisted Living Facility | 1907 Cavallo Rd, Antioch, CA 94509-2713 | 2016-04-05 |
| 1285092106 | Harvest Retirement Corporation | Assisted Living Facility | 9011 Knott Ave, Buena Park, CA 90620-4138 | 2016-02-06 |
| 1891167912 | Habilitative Homes Residential Care Facility | Assisted Living Facility | 11775 Walnut Rd, Lakeside, CA 92040-5624 | 2015-10-28 |
| 1477929628 | Seville Circle Inc. | Assisted Living Facility | 1900 Grismer Ave., Burbank, CA 91504 | 2015-08-11 |
| 1528457066 | Silver Lining Care Home | Assisted Living Facility | 3570 Hazeltine Ln, Roseville, CA 95747-6319 | 2015-01-21 |
| 1972906584 | Baj Management, Inc. | Assisted Living Facility | 800 Prospect Ave, South Pasadena, CA 91030-2420 | 2014-09-28 |
| 1215358452 | Yolanda Villanueva | Assisted Living Facility | 10204 Gerald Ave, North Hills, CA 91343-1132 | 2013-12-13 |
| 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.