Autumn Care Living Center

Primary specialty

Alzheimer Center (Dementia Center)Taxonomy code 311500000X

License

AL-II- UT000673 Issued in UT

Legal business name

AUTUMN CARE LIVING CENTER

Practice address

290 East 4000 North
Hyde Park, UT 83286

Phone

(435) 563-3333

Fax

(888) 505-3891

NPI assigned

Feb 12, 2015

Organization subpart

No

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name

Xochithl Frankman

Title

Administrator

Phone

(208) 478-4782

Specialties & licenses 1

Addresses

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1423699200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1524441600000",
    "number": "1013308071",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "290 EAST 4000 NORTH",
            "city": "HYDE PARK",
            "state": "UT",
            "postal_code": "83286",
            "telephone_number": "435-563-3333",
            "fax_number": "888-505-3891"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "290 EAST 4000 NORTH",
            "city": "HYDE PARK",
            "state": "UT",
            "postal_code": "83286",
            "telephone_number": "435-563-3333",
            "fax_number": "888-505-3891"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "AUTUMN CARE LIVING CENTER",
        "organizational_subpart": "NO",
        "enumeration_date": "2015-02-12",
        "last_updated": "2018-04-23",
        "status": "A",
        "authorized_official_last_name": "FRANKMAN",
        "authorized_official_first_name": "XOCHITHL",
        "authorized_official_title_or_position": "ADMINISTRATOR",
        "authorized_official_telephone_number": "208-478-4782"
    },
    "taxonomies": [
        {
            "code": "311500000X",
            "taxonomy_group": "",
            "desc": "Alzheimer Center (Dementia Center)",
            "state": "UT",
            "license": "AL-II- UT000673",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Stephen Alexander
• Amy Bowen CMHC, LLC
• Riley D Anderson
• Autumn Care LLC
• Back in Action Chiropractic LLC
• Philip Bassett, PHARMD
• Be Well Medical, PLLC
• Robin Belliston, CPM

• All providers in Hyde Park, UT
• Alzheimer Center (Dementia Center) in Utah

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 23, 2018; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.