Organization Active NPI

Lea,LLC

Doing business as Autumn Arbor Estates

  • Assisted Living Facility
  • Monongahela, PA
National Provider Identifier
1720274160
Registry record updated Sep 19, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
Assisted Living FacilityTaxonomy code 310400000X
License
418660 Issued in PA
Legal business name
LEA,LLC
Doing business as
Autumn Arbor Estates
Practice address
1378 4TH St
Monongahela, PA 15063-1201
Phone
(724) 258-8248
Fax
(724) 258-8259
NPI assigned
Sep 19, 2007
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Sep 19, 2007

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

Authorized official

Name
Mrs. Amber Lanae Crawford
Title
Administrator
Phone
(724) 258-8248

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Assisted Living Facility 310400000X 418660 PA Primary

Addresses

Primary practice location

1378 4TH St
Monongahela, PA 15063-1201

Mailing address

1378 4TH St
Monongahela, PA 15063-1201
Phone (724) 258-8248

Other names 1

  • Autumn Arbor Estates Doing business as

National Provider Directory

National Provider Directory

Locations

1378 4th St
Monongahela, PA 15063
Phone (724) 258-8248

NPI Registry JSON

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

{
    "created_epoch": "1190160000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1190160000000",
    "number": "1720274160",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1378 4TH ST",
            "city": "MONONGAHELA",
            "state": "PA",
            "postal_code": "150631201",
            "telephone_number": "724-258-8248",
            "fax_number": "724-258-8259"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1378 4TH ST",
            "city": "MONONGAHELA",
            "state": "PA",
            "postal_code": "150631201",
            "telephone_number": "724-258-8248",
            "fax_number": "724-258-8259"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "LEA,LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-09-19",
        "last_updated": "2007-09-19",
        "status": "A",
        "authorized_official_last_name": "CRAWFORD",
        "authorized_official_first_name": "AMBER",
        "authorized_official_middle_name": "LANAE",
        "authorized_official_title_or_position": "ADMINISTRATOR",
        "authorized_official_telephone_number": "724-258-8248",
        "authorized_official_name_prefix": "Mrs."
    },
    "taxonomies": [
        {
            "code": "310400000X",
            "taxonomy_group": "",
            "desc": "Assisted Living Facility",
            "state": "PA",
            "license": "418660",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Autumn Arbor Estates",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Monongahela, PA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 19, 2007; 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.