AUTUMN HAVEN RESIDENTIAL FACILITY NPI 1710692736

NPI Information

  • NPI: 1710692736
  • Provider Name: AUTUMN HAVEN RESIDENTIAL FACILITY
  • Classification: Assisted Living Facility - 310400000X
  • Entity Type: Organization
  • Address: 2507 EARLCOVE DR
    DALLAS, TX
    ZIP 75227
  • Phone: (469) 992-0389

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NPI Details

AUTUMN HAVEN RESIDENTIAL FACILITY is an assisted living facility in Dallas, 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. AUTUMN HAVEN RESIDENTIAL FACILITY NPI is 1710692736. The provider is registered as an organization entity type.

The provider's business location address is:

2507 EARLCOVE DR
DALLAS, TX
ZIP 75227-817
Phone: (469) 992-0389
Fax: (972) 637-9225

The provider's authorized official is Alicia Dennis .
The authorized official title is Owner and has the following contact phone number (469) 254-1298.

The enumeration date for this NPI number is 1/16/2023 and was last updated on 1/16/2023.

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
13104A0625XAssisted Living FacilityAssisted Living, Mental IllnessNo
2320600000XResidential Treatment Facility, Intellectual and/or Developmental DisabilitiesNo
3310400000XAssisted Living FacilityYes

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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