Organization Active NPI

Autumn Cove LLC

Doing business as Autumn Cove Assisted Living

  • Assisted Living Facility
  • Tucson, AZ
National Provider Identifier
1093519423
Registry record updated Apr 3, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Assisted Living FacilityTaxonomy code 310400000X
Legal business name
AUTUMN COVE LLC
Doing business as
Autumn Cove Assisted Living
Practice address
2002 S Cathy Ave
Tucson, AZ 85710-8036
Phone
(520) 747-0116
Fax
(844) 921-1166
NPI assigned
Apr 3, 2025
Last updated
Apr 3, 2025By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Apr 3, 2025

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

Authorized official

Name
Irene Owusu-Boadi, PHARM.DNPI 1447504865
Title
Manager
Phone
(520) 370-9770

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Assisted Living Facility 310400000X Primary

Addresses

Primary practice location

2002 S Cathy Ave
Tucson, AZ 85710-8036

Mailing address

2002 S Cathy Ave
Tucson, AZ 85710-8036
Phone (520) 747-0116

Other names 1

  • Autumn Cove Assisted Living Doing business as

National Provider Directory

National Provider Directory

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

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

{
    "created_epoch": "1743638400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1743638400000",
    "number": "1093519423",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2002 S CATHY AVE",
            "city": "TUCSON",
            "state": "AZ",
            "postal_code": "857108036",
            "telephone_number": "520-747-0116",
            "fax_number": "844-921-1166"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2002 S CATHY AVE",
            "city": "TUCSON",
            "state": "AZ",
            "postal_code": "857108036",
            "telephone_number": "520-747-0116",
            "fax_number": "844-921-1166"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "AUTUMN COVE LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2025-04-03",
        "last_updated": "2025-04-03",
        "certification_date": "2025-04-03",
        "status": "A",
        "authorized_official_last_name": "OWUSU-BOADI",
        "authorized_official_first_name": "IRENE",
        "authorized_official_title_or_position": "MANAGER",
        "authorized_official_telephone_number": "520-370-9770",
        "authorized_official_credential": "PHARM.D"
    },
    "taxonomies": [
        {
            "code": "310400000X",
            "taxonomy_group": "",
            "desc": "Assisted Living Facility",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Autumn Cove Assisted Living",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Tucson, AZ

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 3, 2025; 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.