Autumn Senior Services, LLC

Primary specialty

In Home Supportive Care AgencyTaxonomy code 253Z00000X

Legal business name

AUTUMN SENIOR SERVICES, LLC

Practice address

125 E North St Ste 203
New Castle, PA 16101-3749

Phone

(814) 297-0123

NPI assigned

Mar 15, 2019

Organization subpart

No

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

Authorized official

Name

Jill Corey

Title

Coo

Phone

(814) 866-2919

Specialties & licenses 1

Addresses

Other identifiers 1

Electronic endpoints 1

Locations

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

{
    "created_epoch": "1552608000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1552608000000",
    "number": "1184183527",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "125 E NORTH ST STE 203",
            "city": "NEW CASTLE",
            "state": "PA",
            "postal_code": "161013749",
            "telephone_number": "814-297-0123"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "125 E NORTH ST STE 203",
            "city": "NEW CASTLE",
            "state": "PA",
            "postal_code": "161013749",
            "telephone_number": "814-297-0123"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "AUTUMN SENIOR SERVICES, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2019-03-15",
        "last_updated": "2019-03-15",
        "status": "A",
        "authorized_official_last_name": "COREY",
        "authorized_official_first_name": "JILL",
        "authorized_official_title_or_position": "COO",
        "authorized_official_telephone_number": "814-866-2919"
    },
    "taxonomies": [
        {
            "code": "253Z00000X",
            "taxonomy_group": "",
            "desc": "In Home Supportive Care",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1032590050001",
            "state": "PA"
        }
    ],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "jcorey@autumnseniorservices.com",
            "affiliation": "N",
            "endpointDescription": "Email Address",
            "address_1": "125 E North St Ste 203",
            "city": "New Castle",
            "state": "PA",
            "country_code": "US",
            "postal_code": "161013749",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

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• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 15, 2019; 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.