AUTUMN LIVING INC NPI 1679784300

NPI Information

  • NPI: 1679784300
  • Provider Name: AUTUMN LIVING INC
  • Classification: Assisted Living Facility - 310400000X
  • Entity Type: Organization
  • Doing Business As: AUTUMN LIVING SOUTH
  • CLIA Number: 52D0984096
  • Address: 4340 S 116TH ST
    GREENFIELD, WI
    ZIP 53228
  • Phone: (414) 708-5679

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NPI Details

AUTUMN LIVING INC is an assisted living facility in Greenfield, WI. 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. AUTUMN LIVING INC NPI is 1679784300. The provider is registered as an organization entity type.
The provider Is Doing Business As Autumn Living South.

The provider's business location address is:

4340 S 116TH ST
GREENFIELD, WI
ZIP 53228-573
Phone: (414) 708-5679
Fax: (414) 425-5543

The provider's authorized official is Allen K Schoenleber .
The authorized official title is Owner and has the following contact phone number (414) 708-5679.

The CLIA number assigned to this NPI record is 52D0984096 - other with a certificate type of Certificate of Waiver.

The enumeration date for this NPI number is 5/24/2007 and was last updated on 12/4/2024.

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 FacilityWISCONSINYes

What is NPI?

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

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