Autism Life Care Center, LLC

Primary specialty

Developmentally Disabled Services Day Training AgencyTaxonomy code 251C00000X

Legal business name

AUTISM LIFE CARE CENTER, LLC

Doing business as

Autism Life Care Center
Autism Life Care Center, LLC

Practice address

11558 Fremantle Dr
Cincinnati, OH 45240-2636

Phone

(513) 405-4674

NPI assigned

Aug 23, 2023

Last updated

Aug 23, 2023By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Mrs. Carla WilliamsNPI 1518679984

Title

Director of Operations

Phone

(513) 405-4674

Specialties & licenses 2

Addresses

Other names 2

• AUTISM LIFE CARE CENTER Doing business as
• AUTISM LIFE CARE CENTER, LLC Doing business as

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.

• Carla Deanna Williams

  • Child Intellectual and/or Developmental Disabilities Respite Care
  • Cincinnati, OH
  • NPI 1518679984
  NPD Authorized official

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

{
    "created_epoch": "1692748800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1692748800000",
    "number": "1235913914",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "11558 FREMANTLE DR",
            "city": "CINCINNATI",
            "state": "OH",
            "postal_code": "452402636",
            "telephone_number": "513-405-4674"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "11558 FREMANTLE DR",
            "city": "CINCINNATI",
            "state": "OH",
            "postal_code": "452402636",
            "telephone_number": "513-405-4674"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "AUTISM LIFE CARE CENTER, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2023-08-23",
        "last_updated": "2023-08-23",
        "certification_date": "2023-08-23",
        "status": "A",
        "authorized_official_last_name": "WILLIAMS",
        "authorized_official_first_name": "CARLA",
        "authorized_official_title_or_position": "DIRECTOR OF OPERATIONS",
        "authorized_official_telephone_number": "513-405-4674",
        "authorized_official_name_prefix": "Mrs."
    },
    "taxonomies": [
        {
            "code": "251C00000X",
            "taxonomy_group": "",
            "desc": "Day Training, Developmentally Disabled Services",
            "state": "NU",
            "license": null,
            "primary": true
        },
        {
            "code": "261Q00000X",
            "taxonomy_group": "",
            "desc": "Clinic/Center",
            "state": "NU",
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "AUTISM LIFE CARE CENTER",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "AUTISM LIFE CARE CENTER, LLC",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Lauren Austin, LPN
• May Austin
• Orson Jude Austin, M.D.
• Precious Austin
• Whitney K Austin
• Susan Ellen Autran, LSW
• Anne Autry, M.D.
• Megan Autry, FNP-C
• Stephen T Autry, M.D.,MBA
• Autumn Springs Homehealth LLC

• Developmentally Disabled Services Day Training Agency in Cincinnati, OH
• Providers in Cincinnati, OH by specialty
• Developmentally Disabled Services Day Training Agency in Ohio

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 23, 2023; 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.