Organization Active NPI

Pathway Assisted Living Autumn Ridge LLC

Doing business as Autumn Ridge Assisted Living LLC

  • Developmentally Disabled Services Day Training Agency
  • Kerman, CA
National Provider Identifier
1063261394
Registry record updated May 29, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Developmentally Disabled Services Day Training AgencyTaxonomy code 251C00000X
Legal business name
PATHWAY ASSISTED LIVING AUTUMN RIDGE LLC
Doing business as
Autumn Ridge Assisted Living LLC
Practice address
14280 W Stanislaus Ave
Kerman, CA 93630-1594
Phone
(559) 642-7727
NPI assigned
May 17, 2024
Last updated
May 29, 2026By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on May 29, 2026

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

Authorized official

Name
Jonathan Johnson
Title
Licensee
Phone
(661) 972-4646

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Developmentally Disabled Services Day Training Agency 251C00000X Primary
Assisted Living Facility 310400000X
Case Manager/Care Coordinator 171M00000X

Addresses

Primary practice location

14280 W Stanislaus Ave
Kerman, CA 93630-1594

Mailing address

14280 W Stanislaus Ave
Kerman, CA 93630-1594
Phone (559) 642-7727

Other names 1

  • Autumn Ridge Assisted Living LLC Doing business as

National Provider Directory

National Provider Directory

NPI Registry JSON

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

{
    "created_epoch": "1715904000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1780012800000",
    "number": "1063261394",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "14280 W STANISLAUS AVE",
            "city": "KERMAN",
            "state": "CA",
            "postal_code": "936301594",
            "telephone_number": "559-642-7727"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "14280 W STANISLAUS AVE",
            "city": "KERMAN",
            "state": "CA",
            "postal_code": "936301594",
            "telephone_number": "559-642-7727"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PATHWAY ASSISTED LIVING AUTUMN RIDGE LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2024-05-17",
        "last_updated": "2026-05-29",
        "certification_date": "2026-05-29",
        "status": "A",
        "authorized_official_last_name": "JOHNSON",
        "authorized_official_first_name": "JONATHAN",
        "authorized_official_title_or_position": "LICENSEE",
        "authorized_official_telephone_number": "661-972-4646"
    },
    "taxonomies": [
        {
            "code": "251C00000X",
            "taxonomy_group": "",
            "desc": "Day Training, Developmentally Disabled Services",
            "state": null,
            "license": null,
            "primary": true
        },
        {
            "code": "310400000X",
            "taxonomy_group": "",
            "desc": "Assisted Living Facility",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "171M00000X",
            "taxonomy_group": "",
            "desc": "Case Manager/Care Coordinator",
            "state": null,
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Autumn Ridge Assisted Living LLC",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Kerman, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 29, 2026; 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.