Organization Active NPI

Am Autumn House LLC

Doing business as Autumn House

  • Assisted Living Facility
  • Viera, FL
National Provider Identifier
1457756652
Registry record updated Oct 30, 2014
On this page

Key facts

NPPES NPI Registry
Primary specialty
Assisted Living FacilityTaxonomy code 310400000X
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, 2014By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Oct 30, 2014

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)CodeLicenseStatePrimary
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 Doing business as

Laboratory certificates & supplier records

Derived by NPIMap

These CMS records do not include an NPI. They are shown because their name and street address match this provider’s.

CLIA laboratory certificates

CLIA numberLaboratoryCertificateExpires
10D0936063Autumn House Holdco LLC7999 Spyglass Hill Road, Melbourne, FL 32940Certificate of waiverNov 13, 2027

National Provider Directory

National Provider Directory

Locations

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.

Verify at the official NPI Registry.