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
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Assisted Living Facility
- 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, 2019
- Organization subpart
- No
NPPES NPI Registry
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) | Code | License | State | Primary |
|---|---|---|---|---|
| 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
Electronic endpoints 2
| Type | Endpoint | Use | Affiliation |
|---|---|---|---|
| Direct Messaging Address | NICOLE@AUTUMNSPROMISE.COM | Direct | |
| Direct Messaging Address | NICOLE@AUTUMNSPROMISE.COM |
Laboratory certificates & supplier records
Derived by NPIMapThese CMS records do not include an NPI. They are shown because their name and street address match this provider’s.
CLIA laboratory certificates
| CLIA number | Laboratory | Certificate | Expires |
|---|---|---|---|
| 52D2077854 | Autumn's Promise Assisted Living | Certificate of waiver | May 14, 2028 |
National Provider Directory
National Provider DirectoryLocations
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.