Autumn Park Assisted Living LLC
NPI 1154951572ActiveOrganization· Assisted Living Facility· Washington, UT
Assisted Living Facility in Washington, Utah, registered in NPPES in January 2020. The authorized official on file is Chris Holub, Administrator.
Overview
| NPI | 1154951572 |
|---|---|
| Status | Active |
| Entity type | Organization |
| NPI issued | Jan 24, 2020 |
| Last updated in NPPES | Apr 14, 2020 |
| Certified by provider | Apr 14, 2020 |
Specialties and licenses
| Taxonomy | Code | License | State |
|---|---|---|---|
| Assisted Living Facility Primary | 310400000X | — | — |
Exclusion screening
| List | Result | Details |
|---|---|---|
| HHS-OIG LEIE · Nov 10, 2026 | No match | Checked by NPI and by name + state |
| North Carolina Medicaid · Nov 11, 2026 | No match | — |
| New York OMIG · Nov 11, 2026 | No match | — |
| Ohio Medicaid · Nov 11, 2026 | No match | — |
| Pennsylvania Medicheck · Nov 11, 2026 | No match | — |
| Washington HCA · Nov 11, 2026 | No match | — |
Official OIG search · How matching works ·Bulk check a roster
Medicare
| Enrollment (PECOS) | Not in the public enrollment file of Oct 1, 2026 |
|---|
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