AUTUMN CORPORATION (NPI# 1164693412) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1164693412 |
| Entity Type | Organization |
| Organization Name | AUTUMN CORPORATION |
| Other Organization Name | AUTUMN CARE OF NASH |
| Practice Address |
1210 Eastern Ave Nashville NC 27856-1817 |
| Practice Telephone | 2524620070 |
| Practice Fax Number | 2524620673 |
| Mailing Telephone | 2524620070 |
| Mailing Fax Number | 2524620673 |
| Enumeration Date | 2008-03-14 |
| Last Update Date | 2008-03-14 |
| Authorized Official Name | MR. SAM M. MARSH (VICE PRESIDENT OF FINANCE) |
| Authorized Official Telephone | 2524436265 |
| Authorized Official Credential | CPA |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 313M00000X | Nursing Facility/Intermediate Care Facility | NH0602 | NC | Nursing & Custodial Care Facilities |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| NC | 340613T | 05 |
| Other Name | Type Code |
|---|---|
| Autumn Care of Nash | Doing Business As Name - Organization |
| 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 |
| 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 |
| Street Address |
1210 EASTERN AVE |
| City | NASHVILLE |
| State | NC |
| Zip Code | 27856-1817 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1053396788 | Autumn Corporation | Skilled Nursing Facility | 1210 Eastern Ave, Nashville, NC 27856-1817 | 2005-12-15 |
| 1366903270 | Jenny Roberts | Occupational Therapy Assistant | 1210 Eastern Ave, Nashville, NC 27856-1817 | 2019-03-26 |
| 1649730532 | Erin Smith Johnson | Physical Therapy Assistant | 1210 Eastern Ave, Nashville, NC 27856-1817 | 2019-03-25 |
| 1265992366 | Sharon Ruth Milligan | Physical Therapy Assistant | 1210 Eastern Ave, Nashville, NC 27856-1817 | 2019-03-23 |
| 1306306816 | Allison Giggers | Physical Therapy Assistant | 1210 Eastern Ave, Nashville, NC 27856-1817 | 2019-03-21 |
| 1487110607 | Jamie Lancaster Clements | Physical Therapy Assistant | 1210 Eastern Ave, Nashville, NC 27856-1817 | 2019-02-12 |
| 1053824730 | Jinky Espinosa | Physical Therapist | 1210 Eastern Ave, Nashville, NC 27856-1817 | 2017-11-16 |
| 1609226273 | Carla Cooper | Skilled Nursing Facility | 1210 Eastern Ave, Nashville, NC 27856-1817 | 2016-06-15 |
| 1699123182 | Regina Doss | Physical Therapy Assistant | 1210 Eastern Ave, Nashville, NC 27856-1817 | 2016-05-25 |
| 1821445982 | Melinda Roberson Rackley | Speech-Language Pathologist | 1210 Eastern Ave, Nashville, NC 27856-1817 | 2016-05-18 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1154962751 | John Eaton | Technician | 762 Harare Lane, Nashville, NC 27856 | 2019-10-04 |
| 1073037735 | Ashley Hicks | Licensed Practical Nurse | 5972 Haywood Dr, Rocky Mount, NC 27856 | 2017-08-03 |
| 1538263173 | Progressive Rehab, Inc. | Clinic/Center | 143 Nashville Commons Drive, Nashville, NC 27856 | 2006-09-12 |
| 1174543730 | Jaclyn S Qualter | Nurse Practitioner | 120 W Washington Street, Nashville, NC 27856 | 2006-07-19 |
| 1699219311 | Sheryl Umstead | Counselor | 884 Robbins Lane, Nashville, NC 27856-0603 | 2016-12-14 |
| 1013043751 | Nash County Health Department | Clinical Medical Laboratory | 214 S Barnes St, Box 849, Nashville, NC 27856-0849 | 2007-02-26 |
| 1689954901 | By Faith Home Care Services, Inc | Home Health | 501 Western Ave, Nashville, NC 27856-1123 | 2011-08-17 |
| 1497880033 | County of Nash | Clinic/Center | 214 S Barnes St, Nashville, NC 27856-1204 | 2007-02-23 |
| 1013218395 | Rebecca I Wilkins | Dietitian, Registered | 214 S Barnes St, Nashville, NC 27856-1204 | 2010-11-03 |
| 1043423544 | Lori B. Taylor | Registered Nurse | 214 S Barnes St, Nashville, NC 27856-1204 | 2007-05-08 |
| Find all providers in zip 27856 | ||||
| Taxonomy Code | 313M00000X |
| Grouping | Nursing & Custodial Care Facilities |
| Classification | Nursing Facility/Intermediate Care Facility |
| An institution (or a distinct part of an institution) which- (1) is primarily engaged in providing to residents- (A) skilled nursing care and related services for residents who require medical or nursing care, (B) rehabilitation services for the rehabilitation of injured, disabled, or sick persons, or, on a regular basis, health-related care and services to individuals who because of their mental or physical condition require care and services (above the level of room and board) which can be made available to them only through institutional facilities, and is not primarily for the care and treatment of mental diseases; (2) has in effect a transfer agreement with one or more hospitals. |
| Notes: Source: Paraphrased from Section 1919 (a) of the Social Security Act. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1457575243 | Developmental Management, Inc. | Nursing Facility/Intermediate Care Facility | 618 W Goodner St, Nashville, IL 62263-1009 | 2007-04-12 |
| 1821021353 | Hqm of Nashville, LLC | Nursing Facility/Intermediate Care Facility | 2733 Mccampbell Ave, Nashville, TN 37214-2913 | 2006-07-08 |
| 1528023678 | Cumberland Health Care and Rehabilitation Inc | Nursing Facility/Intermediate Care Facility | 4343 Ashland City Hwy, Nashville, TN 37218 | 2006-04-20 |
| 1689073215 | Deparment of Veterans Affairs | Nursing Facility/Intermediate Care Facility | 1310 24th Ave S, Nashville, TN 37212-2637 | 2014-08-20 |
| 1417280249 | Jackson Park Christian Home, Inc. | Nursing Facility/Intermediate Care Facility | 4107 Gallatin Pike, Nashville, TN 37216-2109 | 2009-09-11 |
| 1972749182 | Mental Health Coop | Nursing Facility/Intermediate Care Facility | 275 Cumberland Bnd, Nashville, TN 37228-1805 | 2008-12-18 |
| 1356462907 | Ssc Nashville Operating Company LLC | Nursing Facility/Intermediate Care Facility | 3939 Hillsboro Cir, Nashville, TN 37215-2708 | 2007-04-02 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1841617974 | Christopher Rushmeyer | Nursing Facility/Intermediate Care Facility | 1820 Harris Houston Rd, Unit 621411, Charlotte, NC 28262-9253 | 2014-03-26 |
| 1306284674 | Legacy | Nursing Facility/Intermediate Care Facility | 903 W Main Street, Yadkinville, NC 27055 | 2013-06-10 |
| 1194077024 | Skill Creations | Nursing Facility/Intermediate Care Facility | 2101 Royall Ave, Goldsboro, NC 27534-7408 | 2012-10-02 |
| 1093066375 | Sci-east | Nursing Facility/Intermediate Care Facility | 338 Cooper St, Winterville, NC 28590-9507 | 2012-09-26 |
| 1053662437 | Skill Creations of Clinton | Nursing Facility/Intermediate Care Facility | 223 Forest Trail, Clinton, NC 28328-3353 | 2012-09-26 |
| 1821349101 | Sci-duplin House | Nursing Facility/Intermediate Care Facility | 120 Orville Street, Warsaw, NC 28398-2221 | 2012-09-26 |
| 1801147186 | Skill Creations of Kenansville | Nursing Facility/Intermediate Care Facility | 218 S Stokes Street, Kenansville, NC 28349-0001 | 2012-09-26 |
| 1750632030 | Sci-coastal House I and II | Nursing Facility/Intermediate Care Facility | 1974 W Lakeshore Drive, Wilmington, NC 28401-6856 | 2012-09-26 |
| 1760732994 | Sci-triangle House II | Nursing Facility/Intermediate Care Facility | 1523 Tyonek Dr, Durham, NC 27703-5639 | 2012-09-14 |
| 1275883498 | Skill Creations of Kinston | Nursing Facility/Intermediate Care Facility | 901 Doctors Dr, Kinston, NC 28501-1574 | 2012-09-14 |
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| 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.