AUTUMN GLEN SENIOR LIVING LLC – Assisted Living Facility, NPI 1508221136

AUTUMN GLEN SENIOR LIVING LLC is a healthcare provider. based in Coon rapids, Minnesota. specializing in Assisted Living Facility. The organization holds a License No. 372324 (MN). The NPI Number for AUTUMN GLEN SENIOR LIVING LLC is 1508221136

Main info

Organization
Name
AUTUMN GLEN SENIOR LIVING LLC
NPI
1508221136
Phone
(763) 772-4492
Address
3715 COON RAPIDS BLVD NW
Authorized Official
KRISTIN NEFF CHIEF OPERATIONS OFFICER
Enumeration Date
26 December 2015
Last Update Date
26 December 2015
Data current as of
20 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience34
Completeness75
Years active:10State licenses:1Digital endpointsOther names

Provider Addresses for AUTUMN GLEN SENIOR LIVING LLC

  • 3715 COON RAPIDS BLVD NW

    COON RAPIDS, MN 554332777

    Phone: (763) 772-4492

    Fax: (763) 746-4080

    Mailing address matches the actual address.

NPPES updates history

No NPPES updates recorded for this provider.

Prescription Activity

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Open Payments (CMS)

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Medicare Enrollment & Revalidation

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Medicare Utilization (FFS)

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No Medicare fee-for-service utilization data available for this provider in our database.

Insurance plans in this area (ZIP 55433)

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Frequently asked questions

Where can patients find AUTUMN GLEN SENIOR LIVING LLC's NPI?
You can confirm AUTUMN GLEN SENIOR LIVING LLC with NPI 1508221136; it appears in the national provider directory.
Does this profile mean AUTUMN GLEN SENIOR LIVING LLC is currently active?
Yes — AUTUMN GLEN SENIOR LIVING LLC appears active in the national provider directory.
What kind of provider is AUTUMN GLEN SENIOR LIVING LLC?
The page reflects Assisted Living Facility for AUTUMN GLEN SENIOR LIVING LLC. Clinical services aligned with this taxonomy classification.
Where is AUTUMN GLEN SENIOR LIVING LLC's primary listing?
We display Coon Rapids, Minnesota because that is what the record indicates for AUTUMN GLEN SENIOR LIVING LLC.
What if Coon Rapids, Minnesota seems incomplete?
Street-level detail can be omitted — open the full address list for this NPI.

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