Autumn Hills Of Bemidji, Inc. in Bemidji - Assisted Living Facility

Autumn Hills Of Bemidji, Inc. - NPI 1619199916

Autumn Hills Of Bemidji, Inc. is a Assisted Living Facility in Bemidji, Minnesota. Autumn Hills Of Bemidji, Inc. practices all healthcare services and medical treatments related to Assisted Living Facility. The NPI Number for Autumn Hills Of Bemidji, Inc. is 1619199916. The last update date is 2020-08-22.

Autumn Hills Of Bemidji, Inc.'s current location address is 2528 Park Ave Nw, Bemidji, Minnesota. You can contact this provider via phone number 2183333854 and fax number 2183333855. The mailing address for Autumn Hills Of Bemidji, Inc. is 2528 Park Ave Nw, Bemidji, Minnesota. To know further, please read the information below!

Provider Profile Detail

Provider Organization Autumn Hills Of Bemidji, Inc.
Address 2528 Park Ave Nw, Bemidji, Minnesota
Phone Number 2183333854
Fax Number 2183333855
Sole Proprietor --
Credentials --

Authorized Official

Title or Position PRESIDENT
Authorized Official Name Cloose Jean Shelley
Credentials RN
Telephone Number 2183333854

NPI Number Detail

NPI Number 1619199916
Provider Enumeration Date 2007-05-03
Last Updated Date 2020-08-22

Provider Mailing Address Detail

Address 2528 Park Ave Nw
City Bemidji
State Minnesota (MN)
Post Code 56601
Phone Number 2183333854
Fax Number 2183333855

Provider's Primary Taxonomy Detail

Speciality Assisted Living Facility
Taxonomy 310400000X
Licence No 332829
Definition:
A facility providing supportive services to individuals who can function independently in most areas of activity, but need assistance and/or monitoring to assure safety and well being.

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FAQs about Autumn Hills Of Bemidji, Inc.

What is the unique identifier code issued to Autumn Hills Of Bemidji, Inc. by the Centers for Medicare & Medicaid Services?

The Autumn Hills Of Bemidji, Inc. has been assigned the NPI (National Provider Identifier) 1619199916. This 10-digit code serves as a unique identification number for healthcare providers issued by the Centers for Medicare & Medicaid Services (CMS).

Could you provide the complete address where Autumn Hills Of Bemidji, Inc. is physically located?

The Autumn Hills Of Bemidji, Inc. is situated at the following address: 2528 Park Ave Nw, Bemidji, MN 56601.

What is the Autumn Hills Of Bemidji, Inc.'s specialty and taxonomy code?

The Autumn Hills Of Bemidji, Inc.'s specialty is Assisted Living Facility, and the corresponding taxonomy code is 310400000X.

On what date did the Autumn Hills Of Bemidji, Inc. receive the assignment of its 1619199916 from the Centers for Medicare & Medicaid Services?

The Autumn Hills Of Bemidji, Inc. was issued its 1619199916 by the Centers for Medicare & Medicaid Services on 2007-05-03.

When was the Autumn Hills Of Bemidji, Inc.'s information last updated?

The Autumn Hills Of Bemidji, Inc.'s information was last updated on 2020-08-22.

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