Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.

Autumn Glen Senior Living LLC

Organization Assisted Living Facility · NPI 1508221136

Autumn Glen Senior Living LLC is an Assisted Living Facility in Coon Rapids, Minnesota. Licensed in Minnesota. Registered with an NPI since 2015.

Licensed in
MN
In the registry since
2015
What do these letters mean?
LLC — Limited liability company
A form of business registration, not a clinical qualification.

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Practice location Address checks out

3715 Coon Rapids Blvd NW
Coon Rapids, MN 55433-2777
Phone: (763) 772-4492
Fax: (763) 746-4080
Show map & directions

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Assisted Living Facility (primary) Taxonomy 310400000X · Licence 372324 (MN)

Record details

NPI number1508221136
Entity typeOrganization (Type 2)
Organization subpartNo
Authorized official Kristin Neff — Chief Operations Officer · (763) 241-4428
NPI enumeratedDecember 26, 2015
Last updated in NPPESDecember 26, 2015
Mailing address3715 Coon Rapids Blvd Nw, Coon Rapids, MN 55433-2777

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