AUTUMN CORPORATION


Address: 311 W Phifer Rd, Marshville, NC 28103
Phone: 7046246643

AUTUMN CORPORATION (NPI# 1093791337) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).

Provider Overview

Nation Provider ID (NPI) 1093791337
Entity Type Organization
Organization Name AUTUMN CORPORATION
Other Organization Name AUTUMN CARE OF MARSHVILLE
Practice Address 311 W Phifer Rd
Marshville
NC 28103
Mailing Address 26691 Richmond Rd
Bedford Heights
OH 44146-1421
Practice Telephone 7046246643
Practice Fax Number 7046242022
Mailing Telephone 2162925706
Enumeration Date 2005-12-19
Last Update Date 2019-01-18
Authorized Official Name WILLIAM I. WEISBERG (VICE PRESIDENT)
Authorized Official Telephone 2162925706
Is Organization Subpart N

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
Y 314000000X Skilled Nursing Facility NH0421 NC Nursing & Custodial Care Facilities

Other Provider Identifier

State Issuer Identifier Type Code
NC 3405268 05

Other Provider/Organization Names

Other Name Type Code
Autumn Care of Marshville Doing Business As Name - Organization

Other Provider IDs and Locations

NPI Name Taxonomy Address Enumeration
1376932889 Autumn Corporation Skilled Nursing Facility 19530 Mt. Zion Pkwy, Cornelius, NC 28031 2015-01-21
1083917413 Autumn Corporation Skilled Nursing Facility 1401 71st School Rd, Fayetteville, NC 28314-2814 2010-12-07
1942467964 Autumn Corporation Custodial Care Facility 451 N Winstead Ave, Rocky Mount, NC 27804-2230 2008-05-19
1336310697 Autumn Corporation Nursing Facility/Intermediate Care Facility 311 W Phifer St, Marshville, NC 28103-1322 2008-03-14
1437320793 Autumn Corporation Nursing Facility/Intermediate Care Facility 360 Old Balsam Rd, Waynesville, NC 28786-8097 2008-03-14
1619148996 Autumn Corporation Nursing Facility/Intermediate Care Facility 440 Ingram Road Ext, King, NC 27021-8208 2008-03-14
1174794580 Autumn Corporation Nursing Facility/Intermediate Care Facility 307 Oakland Ave., Drexel, NC 28619-1278 2008-03-13
1205812427 Autumn Corporation Skilled Nursing Facility 320 N. Main St, Rich Square, NC 27869 2005-12-20
1417933615 Autumn Corporation Skilled Nursing Facility 440 Ingram Road Ext., King, NC 27021 2005-12-20
1275519506 Autumn Corporation Skilled Nursing Facility 307 Oakland Ave, Morganton, NC 28655-6928 2005-12-19

Other Data Sources

Entity Type Entity Name Entity Address
Virginia Business Entities AUTUMN CORPORATION 26691 Richmond Rd, Bedford, Ohio 44146-1421
Connecticut Business Registrations AUTUMN CORPORATION OF RHODE ISLAND THE 12 Bassett St, Providence, RI 02903

Office Location

Street Address 311 W PHIFER RD
City MARSHVILLE
State NC
Zip Code 28103

Providers in the same zip code

NPI Name Taxonomy Address Enumeration
1700062817 The Upper Group Inc. Local Education Agency (LEA) 6017 Highway 74 West Blvd., Po.111, Marshville, NC 28103 2008-01-18
1578786562 The Mental Health Association In North Carolina, Inc. Community Based Residential Treatment Facility, Mental Illness Box 4213 Ridge Run St, Marshville, NC 28103 2007-04-10
1932277761 Marshville Pharmacy Inc Pharmacy 6330 A West Marshville Blvd, Marshville, NC 28103 2006-12-01
1558927590 Tall Family Services, Inc. Community Based Residential Treatment Facility, Mental Illness 1915 Hasty Rd, Marshville, NC 28103-0029 2019-05-15
1861744971 Joseph Elmo Green Family Medicine 609 Old Hyw 74, Marshville, NC 28103-0146 2012-10-12
1932686425 Pamela C Smith Registered Nurse 502 N Elm St, Marshville, NC 28103-1029 2018-07-26
1306977871 Pierce Family Wellness Center, Pllc Chiropractor 6315 W Marshville Blvd, Marshville, NC 28103-1176 2007-03-08
1932363744 Dva Healthcare Renal Care Inc Clinic/Center 7260 E Marshville Blvd, Marshville, NC 28103-1191 2008-07-11
1104839935 Americare Ehalth Family Medicine 7204 E Marshville Blvd, Marshville, NC 28103-1191 2006-08-14
1548724669 Brenton Bundrick, Dds, Pllc Clinic/Center 7204 E Marshville Blvd, Marshville, NC 28103-1191 2019-01-23
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Taxonomy Information

Taxonomy Code 314000000X
Grouping Nursing & Custodial Care Facilities
Classification Skilled Nursing Facility

Taxonomy Definition

(1) A skilled nursing facility is a facility or distinct part of an institution whose primary function is to provide medical, continuous nursing, and other health and social services to patients who are not in an acute phase of illness requiring services in a hospital, but who require primary restorative or skilled nursing services on an inpatient basis above the level of intermediate or custodial care in order to reach a degree of body functioning to permit self care in essential daily living. It meets any licensing or certification standards et forth by the jurisdiction where it is located. A skilled nursing facility may be a freestanding facility or part of a hospital that has been certified by Medicare to admit patients requiring subacute care and rehabilitation; (2) Provides non-acute medical and skilled nursing care services, therapy and social services under the supervision of a licensed registered nurse on a 24-hour basis.
Notes: Source: (1) "Glossary of terms used in managed care" Developed by the Managed Care Assembly (MCA) of Medical Group Management Association (MGMA), MGM Journal, September/October 1995, p. 64; (2) AHA Guide, 1996 Annual Survey.

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1871063214 Vero Health X, LLC Skilled Nursing Facility 417 Cloverdale Rd, Sylva, NC 28779-0679 2018-11-28
1821573809 Carolina Bay Healthcare Center of Wilmington, LLC Skilled Nursing Facility 740 Diamond Shoals Rd, Wilmington, NC 28403-4388 2018-09-26
1093228397 Bellarose Nursing and Rehab Center, Inc. Skilled Nursing Facility 200 Bellarose Lake Way, Garner, NC 27529-7049 2017-11-08
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Competitor

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City MARSHVILLE
Zip Code 28103

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Dataset Information

Data Provider Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES)
Jurisdiction Medicare & Medicaid

This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.

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