Grand River Senior Living LLC

Primary specialty

Assisted Living FacilityTaxonomy code 310400000X

Legal business name

GRAND RIVER SENIOR LIVING LLC

Doing business as

Autumn Embers Senior Living

Practice address

2626 Finger Rd
Green Bay, WI 54302-4821

Phone

(920) 469-2606

NPI assigned

Oct 9, 2024

Organization subpart

No

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

Authorized official

Name

Amber Tueller

Title

Secretary

Phone

(208) 207-2726

Specialties & licenses 1

Addresses

Other names 1

• Autumn Embers Senior Living Doing business as

These CMS records do not include an NPI. They are shown because their name and street address match this provider’s.

CLIA laboratory certificates

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

{
    "created_epoch": "1728432000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1763510400000",
    "number": "1891514410",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2626 FINGER RD",
            "city": "GREEN BAY",
            "state": "WI",
            "postal_code": "543024821",
            "telephone_number": "920-469-2606"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2626 FINGER RD",
            "city": "GREEN BAY",
            "state": "WI",
            "postal_code": "543024821",
            "telephone_number": "920-469-2606"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "GRAND RIVER SENIOR LIVING LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2024-10-09",
        "last_updated": "2025-11-19",
        "certification_date": "2025-11-19",
        "status": "A",
        "authorized_official_last_name": "TUELLER",
        "authorized_official_first_name": "AMBER",
        "authorized_official_title_or_position": "SECRETARY",
        "authorized_official_telephone_number": "208-207-2726"
    },
    "taxonomies": [
        {
            "code": "310400000X",
            "taxonomy_group": "",
            "desc": "Assisted Living Facility",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Autumn Embers Senior Living",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• James Norton Grace, MD
• Norman Graeber
• Jamie Graef
• Oliver Graf, M.D.
• Zachary Adam Graf, DDS
• Scott P Granger, CSAC
• Mary L Grant, RN
• Heather A Grasse, MSW
• Amanda Grassell, NP
• Susan Marie Grassl, PT

• Assisted Living Facility in Green Bay, WI
• Providers in Green Bay, WI by specialty
• Assisted Living Facility in Wisconsin

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 19, 2025; 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.