Autumn Blessings Assisted Living

LBN: Autumn Blessings Assistd Living, Llc
Autumn Blessings Assisted Living is an health care organization with primary practice located at 400 Sunset , Logan NM 88426-9681. The organization recently has only one registered license in Nursing & Custodial Care Facilities / Assisted Living Facility, which is considered as the primary health care specialty. Autumn Blessings Assistd Living, Llc can be contacted via phone (575) 487-2300, or through Willis, Ken D via phone (575) 487-2300.

Contact Information

Primary practice address
400 Sunset Logan NM 88426-9681
Phone: (575) 487-2300
Fax: (575) 487-2302
Website:
Map and Directions
Authorized official contact:
Name: Willis, Ken D
Phone: (575) 487-2300

Health care specialties

SpecialtyCodeLicense #State
Nursing & Custodial Care Facilities / Assisted Living Facility 310400000X 5869 New Mexico

Profile Details

NPI number 1174675342
LBN Legal business name Autumn Blessings Assistd Living, Llc
DBA Doing business as Autumn Blessings Assisted Living
Authorized official Willis, Ken D
Entity Organization
Organization subpart 1 No
Enumeration date Jan 17th, 2007
Last updated Oct 14th, 2009 - about 15 years ago

1 Some organizations, which are providing health care services, may consist of units or departments that provide different types of health care services or have several separate physical locations, where health care service is provided. These units, departments or physical locations are not themselves legal entities. However, each of them is part of the organization, which is a legal entity. The organization may decide whether its subparts, if it has any, should have their own NPI numbers. In case a subpart conducts any HIPAA standard transactions by itself, without its parent's involvement, it must have its own NPI number.

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Identifiers

StateTypeNumberIssuer
All States NPI 1174675342 NPPES
New Mexico MEDICAID 000D3293

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