Active NPI
Am Autumn House LLC
Doing business as Autumn House
- Assisted Living Facility
- Viera, FL
National Provider Identifier
1457756652
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Assisted Living Facility
- Legal business name
- AM AUTUMN HOUSE LLC
- Doing business as
- Autumn House
- Practice address
- 7999 Spyglass Hill Rd
Viera, FL 32940-7993 - Phone
- (212) 582-2400
- NPI assigned
- Oct 30, 2014
- Last updated
- Oct 30, 2014
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Mr. Alfons Melohn
- Title
- Principal
- Phone
- (212) 582-2400
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Assisted Living Facility | 310400000X | Primary |
Addresses
Primary practice location
7999 Spyglass Hill Rd
Viera, FL 32940-7993
Mailing address
145 W 57TH St
New York, NY 10019-2220
Phone (212) 582-2400
Other names 1
- Autumn House
Laboratory certificates & supplier records
Derived by NPIMapThese CMS records do not include an NPI. They are shown because their name and street address match this provider’s.
CLIA laboratory certificates
| CLIA number | Laboratory | Certificate | Expires |
|---|---|---|---|
| 10D0936063 | Autumn House Holdco LLC | Certificate of waiver | Nov 13, 2027 |
National Provider Directory
National Provider DirectoryLocations
145 W 57th St
New York, NY 10019
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1414627200000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1414627200000",
"number": "1457756652",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "145 W 57TH ST",
"city": "NEW YORK",
"state": "NY",
"postal_code": "100192220",
"telephone_number": "212-582-2400"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "7999 SPYGLASS HILL RD",
"city": "VIERA",
"state": "FL",
"postal_code": "329407993",
"telephone_number": "212-582-2400"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "AM AUTUMN HOUSE LLC",
"organizational_subpart": "NO",
"enumeration_date": "2014-10-30",
"last_updated": "2014-10-30",
"status": "A",
"authorized_official_last_name": "MELOHN",
"authorized_official_first_name": "ALFONS",
"authorized_official_title_or_position": "PRINCIPAL",
"authorized_official_telephone_number": "212-582-2400",
"authorized_official_name_prefix": "Mr."
},
"taxonomies": [
{
"code": "310400000X",
"taxonomy_group": "",
"desc": "Assisted Living Facility",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": [
{
"organization_name": "Autumn House",
"code": "3",
"type": "Doing Business As"
}
]
}
Other providers in Viera, FL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 30, 2014; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.