Grapevine Autumn Leaves, LP

Primary specialty

Assisted Living FacilityTaxonomy code 310400000X

License

101961 Issued in TX

Legal business name

GRAPEVINE AUTUMN LEAVES, LP

Practice address

2501 Heritage Ave
Grapevine, TX 76051-7037

Phone

(817) 329-8500

NPI assigned

Jul 21, 2008

Organization subpart

No

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

Authorized official

Name

Chad Anderson

Title

President

Phone

(214) 239-8400

Specialties & licenses 1

Addresses

Other names 1

• Autumn Leaves of Grapevine Other name

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

{
    "created_epoch": "1216598400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1216598400000",
    "number": "1467617316",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "545 E JOHN CARPENTER FWY",
            "city": "IRVING",
            "state": "TX",
            "postal_code": "750623931",
            "telephone_number": "214-239-8400"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2501 HERITAGE AVE",
            "city": "GRAPEVINE",
            "state": "TX",
            "postal_code": "760517037",
            "telephone_number": "817-329-8500"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "GRAPEVINE AUTUMN LEAVES, LP",
        "organizational_subpart": "NO",
        "enumeration_date": "2008-07-21",
        "last_updated": "2008-07-21",
        "status": "A",
        "authorized_official_last_name": "ANDERSON",
        "authorized_official_first_name": "CHAD",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "214-239-8400"
    },
    "taxonomies": [
        {
            "code": "310400000X",
            "taxonomy_group": "",
            "desc": "Assisted Living Facility",
            "state": "TX",
            "license": "101961",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Autumn Leaves of Grapevine",
            "code": "5",
            "type": "Other Name"
        }
    ]
}

• Meredith Lynn Grady, D.C.
• Candace Graham, LPC
• Charisa Beth Graham, LPC-A
• Eric Kevin Graham, PA-C
• Haley Grant, OTR
• Grapevine Behavioral Healthcare Associates Inc
• Grapevine Birthing Center
• Grapevine Cardiology
• Grapevine Chiropractic LLC (Family Wellness Chiropractic)
• Grapevine Colleyville Isd

• Assisted Living Facility in Grapevine, TX
• Providers in Grapevine, TX by specialty
• Assisted Living Facility in Texas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 21, 2008; 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.