MEDICARE: MS. AUTUMN LYNE BRUMFIELD

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	251E00000X	Home Health Agency		OH

General Provider Information

NPI Number	:	1679457915
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	MS. AUTUMN LYNE BRUMFIELD

Provider Business Mailing Address
First Line	:	1398 E BETHEL CHURCH RD
Second Line	:
City	:	GALLIPOLIS
State	:	OH
Zip	:	45631-9602
Country	:	US
Telephone Number	:	740-645-0523
Fax Number	:

Provider Business Practice Location Address
First Line	:	88 TOWNSHIP ROAD 1310
Second Line	:
City	:	PROCTORVILLE
State	:	OH
Zip	:	45669-8834
Country	:	US
Telephone Number	:	304-638-6154
Fax Number	:

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	07/31/2025
Last Update Date	:	07/31/2025

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