Provider Demographics
NPI:1376037184
Name:AUTUMN CARE LLC
Entity Type:Organization
Organization Name:AUTUMN CARE LLC
Other - Org Name:AUTUMN CARE IN-HOME
Other - Org Type:Doing Business As
Authorized Official - Title/Position:
Authorized Official - Prefix:
Authorized Official - First Name:XOCHITHL
Authorized Official - Middle Name:
Authorized Official - Last Name:FRANKMAN
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:435-563-3333
Mailing Address - Street 1:290 E 4000 N
Mailing Address - Street 2:
Mailing Address - City:HYDE PARK
Mailing Address - State:UT
Mailing Address - Zip Code:84318-4126
Mailing Address - Country:US
Mailing Address - Phone:435-563-3333
Mailing Address - Fax:888-505-3891
Practice Address - Street 1:290 E 4000 N
Practice Address - Street 2:
Practice Address - City:HYDE PARK
Practice Address - State:UT
Practice Address - Zip Code:84318-4126
Practice Address - Country:US
Practice Address - Phone:435-563-3333
Practice Address - Fax:888-505-3891
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2018-06-15
Last Update Date:2018-06-15
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251E00000XAgenciesHome Health