Provider Demographics
NPI:1396034104
Name:AUTUMN WINDS HOME HEALTH & HOSPICE
Entity Type:Organization
Organization Name:AUTUMN WINDS HOME HEALTH & HOSPICE
Other - Org Name:SYMBII
Other - Org Type:Doing Business As
Authorized Official - Title/Position:CEO
Authorized Official - Prefix:MR
Authorized Official - First Name:RICK
Authorized Official - Middle Name:
Authorized Official - Last Name:JONES
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:928-925-3263
Mailing Address - Street 1:25755 N CHAMPAGNE LN
Mailing Address - Street 2:
Mailing Address - City:PAULDEN
Mailing Address - State:AZ
Mailing Address - Zip Code:86334-3420
Mailing Address - Country:US
Mailing Address - Phone:928-925-3263
Mailing Address - Fax:
Practice Address - Street 1:25755 N CHAMPAGNE LN
Practice Address - Street 2:
Practice Address - City:PAULDEN
Practice Address - State:AZ
Practice Address - Zip Code:86334-3420
Practice Address - Country:US
Practice Address - Phone:928-925-3263
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2011-04-01
Last Update Date:2011-04-01
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251E00000XAgenciesHome Health