Autumn View Outreach and Development

Primary specialty

Home Health AgencyTaxonomy code 251E00000X

License

01541356 Issued in MS

Legal business name

AUTUMN VIEW OUTREACH AND DEVELOPMENT

Practice address

400 Legg Dr
Gulfport, MS 39503-3352

Phone

(228) 547-4424

NPI assigned

Mar 3, 2014

Last updated

Mar 3, 2014By 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

Kwantrell Green

Title

President

Phone

(228) 547-4424

Specialties & licenses 2

Addresses

Other identifiers 2

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

{
    "created_epoch": "1393804800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1393804800000",
    "number": "1497170260",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 3162",
            "city": "GULFPORT",
            "state": "MS",
            "postal_code": "395053162"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "400 LEGG DR",
            "city": "GULFPORT",
            "state": "MS",
            "postal_code": "395033352",
            "telephone_number": "228-547-4424"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "AUTUMN VIEW OUTREACH AND DEVELOPMENT",
        "organizational_subpart": "NO",
        "enumeration_date": "2014-03-03",
        "last_updated": "2014-03-03",
        "status": "A",
        "authorized_official_last_name": "GREEN",
        "authorized_official_first_name": "KWANTRELL",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "228-547-4424"
    },
    "taxonomies": [
        {
            "code": "251E00000X",
            "taxonomy_group": "",
            "desc": "Home Health",
            "state": "MS",
            "license": "01541356",
            "primary": true
        },
        {
            "code": "261QA0600X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Adult Day Care",
            "state": "MS",
            "license": "03873054",
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "01541356",
            "state": "MS"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "03873054",
            "state": "MS"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Meghan Ashcroft, SURGICAL ASSIST
• Alanna Atkinson
• Atlantic OB/GYN, Inc
• Audiology Solutions
• Shayla Tomieka Autman
• Autumn View Senior Day Services, LLC
• Swashna Avneeta, MD
• Mohammed I Awaad, MD
• Awakenings, PA
• Nabil Azar, M.D.

• Home Health Agency in Gulfport, MS
• Providers in Gulfport, MS by specialty
• Home Health Agency in Mississippi

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 3, 2014; 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.