Type 2 · Organization ✓ Active NPI ✓ Valid NPI checksum

Autumn Park Assisted Living LLC

Assisted Living Facility in Washington, UT · enumerated 2020 · authorized official Chris Holub, Administrator.

Data current as of Jul 13, 2026 · sourced from CMS NPPES

National Provider Identifier

1154951572

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Registry record

Entity type Organization (Type 2)

Legal business name Autumn Park Assisted Living LLC

Practice address 548 N 1100 E, Washington, UT, 84780

Phone (435) 275-4458

Enumeration date Jan 24, 2020

Last updated in NPPES Apr 14, 2020

Taxonomy & classification

310400000X Assisted Living Facility Nursing & Custodial Care Facilities Primary

Authorized official

Name Chris Holub

Title Administrator

Phone (435) 275-4458

What is an NPI number?

A National Provider Identifier (NPI) is a unique 10-digit number that CMS assigns to every U.S. healthcare provider and organization under HIPAA. Type 1 NPIs identify individual providers; Type 2 NPIs identify organizations. The NPI appears on insurance claims, prescriptions, and credentialing paperwork, and never changes, even if the provider moves or changes specialty.

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Frequently asked questions

Where is Autumn Park Assisted Living LLC located?

The practice location on file with NPPES is in Washington, UT.

How current is this record?

Data comes from the CMS NPPES public dissemination file; this record was last updated in NPPES on 2020-04-14. Verify at npiregistry.cms.hhs.gov.

Providers at this address

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Patrick Jackman Attendant Care Provider · Washington, UT NPI 1437668365 Autumn Park Inc Assisted Living Facility · Washington, UT NPI 1487167805

Source: CMS NPPES (public data). Snapshot 2026-07-13. Provider record last updated 2020-04-14.