The Woods at Autumn Hill, Inc.

Primary specialty

Respite CareTaxonomy code 385H00000X

Legal business name

THE WOODS AT AUTUMN HILL, INC.

Practice address

2010 Main St
Van Buren, AR 72956-4957

Phone

(479) 474-6885

Fax

(479) 474-9523

NPI assigned

Oct 4, 2009

Last updated

Oct 4, 2009By 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

Jenny Kilgore, CPA

Title

Cfo

Phone

(479) 474-6885

Specialties & licenses 1

Addresses

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

{
    "created_epoch": "1254614400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1254614400000",
    "number": "1669707089",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2010 MAIN ST",
            "city": "VAN BUREN",
            "state": "AR",
            "postal_code": "729564957",
            "telephone_number": "479-474-6885",
            "fax_number": "479-474-9523"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2010 MAIN ST",
            "city": "VAN BUREN",
            "state": "AR",
            "postal_code": "729564957",
            "telephone_number": "479-474-6885",
            "fax_number": "479-474-9523"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "THE WOODS AT AUTUMN HILL, INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2009-10-04",
        "last_updated": "2009-10-04",
        "status": "A",
        "authorized_official_last_name": "KILGORE",
        "authorized_official_first_name": "JENNY",
        "authorized_official_title_or_position": "CFO",
        "authorized_official_telephone_number": "479-474-6885",
        "authorized_official_credential": "CPA"
    },
    "taxonomies": [
        {
            "code": "385H00000X",
            "taxonomy_group": "",
            "desc": "Respite Care",
            "state": "AR",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Monique Thammavong, APRN, NP-C
• The Clinic at the Forging Place
• The Forging Place
• The Guidance Center - Van Buren Clinic
• The Guidance Center- Crawford County Sats
• Lindsey Thibodeaux, PTA
• Thomas a. Sarna DDS PLLC
• Cassandra Jolene Thomas-Jeffcoat, LMT
• Madison Thomas, PTA
• McKenzie Thomas

• Respite Care in Van Buren, AR
• Providers in Van Buren, AR by specialty
• Respite Care in Arkansas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 4, 2009; 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.