Autum Personal Care Home

Primary specialty

Assisted Living FacilityTaxonomy code 310400000X

Legal business name

AUTUM PERSONAL CARE HOME

Practice address

2390 Tiffany PL
Decatur, GA 30035-3330

Phone

(678) 451-4226

Fax

(678) 342-0583

NPI assigned

Feb 24, 2009

Organization subpart

No

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

Authorized official

Name

Mrs. Tisha Owes

Title

Owner

Phone

(678) 451-4226

Specialties & licenses 2

Addresses

Other names 1

• Autum Home Health Care Other name

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

{
    "created_epoch": "1235433600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1235433600000",
    "number": "1992945398",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2390 TIFFANY PL",
            "city": "DECATUR",
            "state": "GA",
            "postal_code": "300353330",
            "telephone_number": "678-451-4226",
            "fax_number": "678-342-0583"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2390 TIFFANY PL",
            "city": "DECATUR",
            "state": "GA",
            "postal_code": "300353330",
            "telephone_number": "678-451-4226",
            "fax_number": "678-342-0583"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "AUTUM PERSONAL CARE HOME",
        "organizational_subpart": "NO",
        "enumeration_date": "2009-02-24",
        "last_updated": "2009-02-24",
        "status": "A",
        "authorized_official_last_name": "OWES",
        "authorized_official_first_name": "TISHA",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "678-451-4226",
        "authorized_official_name_prefix": "Mrs."
    },
    "taxonomies": [
        {
            "code": "251E00000X",
            "taxonomy_group": "",
            "desc": "Home Health",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "310400000X",
            "taxonomy_group": "",
            "desc": "Assisted Living Facility",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Autum Home Health Care",
            "code": "5",
            "type": "Other Name"
        }
    ]
}

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• Assisted Living Facility in Decatur, GA
• Providers in Decatur, GA by specialty
• Assisted Living Facility in Georgia

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 24, 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.