Active NPIOrganization

Autumn Park Asst Living

Assisted Living Facility in Indianapolis, Indiana

NPI Number1255475786
Practice location
5045 W 52ND St, Indianapolis, IN 46254-1705
Fax
—
Last updated
August 22, 2020

Autumn Park Asst Living is a healthcare organization based in Indianapolis, IN. The NPI number for Autumn Park Asst Living is 1255475786 and holds license No. 06-003915-1 (IN). The current practice location address is 5045 W 52ND St, Indianapolis, IN 46254-1705 and the office can be reached by phone at 317-293-2929. The NPI was assigned on February 17, 2007 and the record was last updated in NPPES on August 22, 2020.

●Provider Profile Details

NPI Number
1255475786
Provider Name
Autumn Park Asst Living
Entity Type
Organization (Type 2 NPI)
Primary Taxonomy
Assisted Living Facility · 310400000X
Organization Subpart
No
Authorized Official
Mr. Jon Harder · Ceo President · 503-485-4600
Enumeration Date
February 17, 2007
Last Update Date
August 22, 2020
NPI Status
Active

◉Business Practice Location Address

Address
5045 W 52ND St
Indianapolis, IN 46254-1705
State
Indiana
ZIP
46254-1705
Country
US
Phone Number
317-293-2929

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✉Business Mailing Address

Address
Po Box 3006
Salem, OR 97302-0006
City
Salem
State
OR
ZIP
97302-0006
Phone Number
503-485-4600

✎Taxonomy & License Information

TaxonomyCodePrimaryLicenseState
Assisted Living Facility310400000XYes06-003915-1IN

#Other Provider Identifiers

No legacy or other identifiers (Medicaid, Medicare or plan IDs) are on file for this provider.

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?Frequently Asked Questions

What is the NPI number of Autumn Park Asst Living?

The NPI number of Autumn Park Asst Living is 1255475786. It was assigned on February 17, 2007 and is currently active in the NPPES registry.

What is the specialty of Autumn Park Asst Living?

Autumn Park Asst Living is registered under the primary taxonomy Assisted Living Facility (code 310400000X) and holds license No. 06-003915-1 (IN).

Where does Autumn Park Asst Living practice?

The practice location is 5045 W 52ND St, Indianapolis, IN 46254-1705. The office can be reached at 317-293-2929 (phone).

What is an NPI number?

A National Provider Identifier (NPI) is a unique 10-digit identification number issued to health care providers in the United States by the Centers for Medicare and Medicaid Services (CMS). It is used in HIPAA standard transactions.

How do I verify this NPI record?

This record is sourced from the public NPPES NPI Registry maintained by CMS. You can confirm it by searching NPI 1255475786 directly on the NPPES registry website at npiregistry.cms.hhs.gov.

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