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Autumn Blessings Assistd Living, LLC

Assisted Living Facility in Logan, NM · enumerated 2007 · authorized official Ken Willis, Administrator.

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

National Provider Identifier

1174675342

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Registry record

Entity type Organization (Type 2)
Legal business name Autumn Blessings Assistd Living, LLC
Other name <Unavail>
Practice address 400 Sunset, Logan, NM, 88426
Phone (575) 487-2300
Fax (575) 487-2302
Enumeration date Jan 17, 2007
Last updated in NPPES Oct 14, 2009

Taxonomy & classification

310400000X Assisted Living Facility Nursing & Custodial Care Facilities · License 5869 (NM) Primary

Authorized official

Name Ken Willis
Title Administrator
Phone (575) 487-2300

Other identifiers

Identifier Type State Issuer
000D3293 Medicaid NM -

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

What is the NPI number for Autumn Blessings Assistd Living, LLC?
The NPI for Autumn Blessings Assistd Living, LLC is 1174675342, a Type 2 (organization) record in the CMS NPPES registry.
Who is the authorized official for Autumn Blessings Assistd Living, LLC?
NPPES lists Ken Willis (Administrator) as the authorized official for this organization.

Providers at this address

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Source: CMS NPPES (public data). Snapshot 2026-07-13. Provider record last updated 2009-10-14.