NPIMap

Organization Active NPI

Autumn Lake LLC

  • Homemaker
  • Baton Rouge, LA
National Provider Identifier
1245961291
Registry record updated Jun 21, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
HomemakerTaxonomy code 376J00000X
Legal business name
AUTUMN LAKE LLC
Practice address
11758 S Harrells Ferry Rd Ste C
Baton Rouge, LA 70816-2365
Phone
(225) 246-2740
Fax
(225) 367-4687
NPI assigned
Jun 21, 2022
Last updated
Jun 21, 2022By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jun 21, 2022

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

Authorized official

Name
Cristal RileyNPI 1558203281
Title
Coo
Phone
(225) 888-5881

Authorized official NPPES reports the official by name only. The link goes to the one practitioner with that name whose NPPES practice address or phone number is this organization’s.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Homemaker 376J00000X Primary

Addresses

Primary practice location

11758 S Harrells Ferry Rd Ste C
Baton Rouge, LA 70816-2365

Mailing address

11758 S Harrells Ferry Rd Ste C
Baton Rouge, LA 70816-2365
Phone (225) 246-2740

National Provider Directory

National Provider Directory
Tax ID family
Autumn Lake LLC5 organizations share this tax ID, including this one

Other organizations with this tax ID 4

Organizations that report the same tax identification number in the 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": "1655769600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1655769600000",
    "number": "1245961291",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "11758 S HARRELLS FERRY RD STE C",
            "city": "BATON ROUGE",
            "state": "LA",
            "postal_code": "708162365",
            "telephone_number": "225-246-2740"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "11758 S HARRELLS FERRY RD STE C",
            "city": "BATON ROUGE",
            "state": "LA",
            "postal_code": "708162365",
            "telephone_number": "225-246-2740",
            "fax_number": "225-367-4687"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "AUTUMN LAKE LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2022-06-21",
        "last_updated": "2022-06-21",
        "certification_date": "2022-06-21",
        "status": "A",
        "authorized_official_last_name": "RILEY",
        "authorized_official_first_name": "CRISTAL",
        "authorized_official_title_or_position": "COO",
        "authorized_official_telephone_number": "225-888-5881"
    },
    "taxonomies": [
        {
            "code": "376J00000X",
            "taxonomy_group": "",
            "desc": "Homemaker",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Baton Rouge, LA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 21, 2022; 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.