Autumn Adult Foster Care Home

Primary specialty

Lodging ProviderTaxonomy code 177F00000X

Legal business name

AUTUMN ADULT FOSTER CARE HOME

Practice address

9214 Heino Rd
Angora, MN 55703

Phone

(218) 741-2401

NPI assigned

Dec 26, 2007

Last updated

Aug 12, 2008By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Janis Arola

Title

Owner

Phone

(218) 741-2401

Specialties & licenses 2

Addresses

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

{
    "created_epoch": "1198627200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1218499200000",
    "number": "1992989032",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "9214 HEINO RD",
            "city": "ANGORA",
            "state": "MN",
            "postal_code": "55703",
            "telephone_number": "218-741-2401"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "9214 HEINO RD",
            "city": "ANGORA",
            "state": "MN",
            "postal_code": "55703",
            "telephone_number": "218-741-2401"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "AUTUMN ADULT FOSTER CARE HOME",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-12-26",
        "last_updated": "2008-08-12",
        "status": "A",
        "authorized_official_last_name": "AROLA",
        "authorized_official_first_name": "JANIS",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "218-741-2401"
    },
    "taxonomies": [
        {
            "code": "372600000X",
            "taxonomy_group": "",
            "desc": "Adult Companion",
            "state": "NU",
            "license": null,
            "primary": false
        },
        {
            "code": "177F00000X",
            "taxonomy_group": "",
            "desc": "Lodging",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• Lodging Provider in Angora, MN
• Providers in Angora, MN by specialty
• Lodging Provider in Minnesota

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 12, 2008; 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.