Organization Active NPI

Autumn's Promise Assisted Living, LLC

Doing business as Autumn's Promise Assisted Living

  • Assisted Living Facility
  • New Franken, WI
National Provider Identifier
1700431178
Registry record updated Aug 2, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
Assisted Living FacilityTaxonomy code 310400000X
Legal business name
AUTUMN'S PROMISE ASSISTED LIVING, LLC
Doing business as
Autumn's Promise Assisted Living
Practice address
1700 Spartan Rd
New Franken, WI 54229-9384
Phone
(920) 465-1181
Fax
(920) 593-8324
NPI assigned
Aug 2, 2019
Last updated
Aug 2, 2019By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 2, 2019

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

Authorized official

Name
Nicole Marie Silta
Title
Administrator
Phone
(920) 465-1181

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Assisted Living Facility 310400000X NU Primary

Addresses

Primary practice location

1700 Spartan Rd
New Franken, WI 54229-9384

Mailing address

1700 Spartan Rd
New Franken, WI 54229-9384
Phone (920) 465-1181

Other names 1

  • Autumn's Promise Assisted Living Doing business as

Electronic endpoints 2

TypeEndpointUseAffiliation
Direct Messaging Address NICOLE@AUTUMNSPROMISE.COM Direct
Direct Messaging Address NICOLE@AUTUMNSPROMISE.COM

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
52D2077854Autumn's Promise Assisted Living1700 Spartan Rd, New Franken, WI 54229Certificate of waiverMay 14, 2028

National Provider Directory

National Provider Directory

Locations

1700 Spartan Rd
New Franken, WI 54229
Phone (920) 465-1181

NPI Registry JSON

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

{
    "created_epoch": "1564704000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1564704000000",
    "number": "1700431178",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1700 SPARTAN RD",
            "city": "NEW FRANKEN",
            "state": "WI",
            "postal_code": "542299384",
            "telephone_number": "920-465-1181",
            "fax_number": "920-593-8324"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1700 SPARTAN RD",
            "city": "NEW FRANKEN",
            "state": "WI",
            "postal_code": "542299384",
            "telephone_number": "920-465-1181",
            "fax_number": "920-593-8324"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "AUTUMN'S PROMISE ASSISTED LIVING, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2019-08-02",
        "last_updated": "2019-08-02",
        "status": "A",
        "authorized_official_last_name": "SILTA",
        "authorized_official_first_name": "NICOLE",
        "authorized_official_middle_name": "MARIE",
        "authorized_official_title_or_position": "ADMINISTRATOR",
        "authorized_official_telephone_number": "920-465-1181"
    },
    "taxonomies": [
        {
            "code": "310400000X",
            "taxonomy_group": "",
            "desc": "Assisted Living Facility",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "NICOLE@AUTUMNSPROMISE.COM",
            "affiliation": "N",
            "endpointDescription": "WORK EMAIL",
            "use": "DIRECT",
            "useDescription": "Direct",
            "contentType": "CSV",
            "contentTypeDescription": "CSV",
            "address_1": "1700 Spartan Rd",
            "city": "New Franken",
            "state": "WI",
            "country_code": "US",
            "postal_code": "542299384",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "NICOLE@AUTUMNSPROMISE.COM",
            "affiliation": "N",
            "address_1": "1700 Spartan Rd",
            "city": "New Franken",
            "state": "WI",
            "country_code": "US",
            "postal_code": "542299384",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": [
        {
            "organization_name": "Autumn's Promise Assisted Living",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in New Franken, WI

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 2, 2019; 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.