GRAPEVINE AUTUMN LEAVES LP NPI 1467617316

NPI Information

  • NPI: 1467617316
  • Provider Name: GRAPEVINE AUTUMN LEAVES, LP
  • Classification: Assisted Living Facility - 310400000X
  • Entity Type: Organization
  • Other Name: AUTUMN LEAVES OF GRAPEVINE
  • Address: 2501 HERITAGE AVE
    GRAPEVINE, TX
    ZIP 76051
  • Phone: (817) 329-8500

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NPI Details

GRAPEVINE AUTUMN LEAVES, LP is an assisted living facility in Grapevine, TX. The provider is 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. GRAPEVINE AUTUMN LEAVES, LP NPI is 1467617316. The provider is registered as an organization entity type.
The provider Other Name Is Autumn Leaves Of Grapevine.

The provider's business location address is:

2501 HERITAGE AVE
GRAPEVINE, TX
ZIP 76051-037
Phone: (817) 329-8500

The provider's authorized official is Chad Anderson .
The authorized official title is President and has the following contact phone number (214) 239-8400.

The enumeration date for this NPI number is 7/21/2008 and was last updated on 7/21/2008.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No. Taxonomy Code Taxonomy Clasification Taxonomy Specialization License Number License State Primary
1310400000XAssisted Living Facility101961TEXASYes

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 11/21/2025

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