Autumn Wind Community Healthcare LLC

Primary specialty

Assisted Living FacilityTaxonomy code 310400000X

Legal business name

AUTUMN WIND COMMUNITY HEALTHCARE LLC

Doing business as

Autumn Wind Assisted Living

Practice address

200 W Beech St
Caldwell, ID 83605-5692

Phone

(208) 459-3335

NPI assigned

May 30, 2024

Last updated

May 30, 2024By 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

John Mitchell

Title

Secretary

Phone

(801) 447-9829

Specialties & licenses 2

Addresses

Other names 1

• Autumn Wind Assisted Living Doing business as

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

{
    "created_epoch": "1717027200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1717027200000",
    "number": "1407696008",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "262 N UNIVERSITY AVE",
            "city": "FARMINGTON",
            "state": "UT",
            "postal_code": "840252975"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "200 W BEECH ST",
            "city": "CALDWELL",
            "state": "ID",
            "postal_code": "836055692",
            "telephone_number": "208-459-3335"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "AUTUMN WIND COMMUNITY HEALTHCARE LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2024-05-30",
        "last_updated": "2024-05-30",
        "certification_date": "2024-05-30",
        "status": "A",
        "authorized_official_last_name": "MITCHELL",
        "authorized_official_first_name": "JOHN",
        "authorized_official_title_or_position": "SECRETARY",
        "authorized_official_telephone_number": "801-447-9829"
    },
    "taxonomies": [
        {
            "code": "310400000X",
            "taxonomy_group": "",
            "desc": "Assisted Living Facility",
            "state": "NU",
            "license": null,
            "primary": true
        },
        {
            "code": "311500000X",
            "taxonomy_group": "",
            "desc": "Alzheimer Center (Dementia Center)",
            "state": "NU",
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Autumn Wind Assisted Living",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Kristine Marie Atkinson
• Lasondra Lin Attebery, RN
• Dennis Leon Augustus, MSW, LCSW
• Richard A Augustus, MD
• Daniel Timothy Ault
• Cama L Averett
• Adrian Avila, RN, NP
• Stephen Aydelotte
• David Babbel, DO
• Maria A Babushkina, MSW

• Assisted Living Facility in Caldwell, ID
• Providers in Caldwell, ID by specialty
• Assisted Living Facility in Idaho

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 30, 2024; 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.