AUTUMN CORPORATION (NPI# 1174794580) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1174794580 |
| Entity Type | Organization |
| Organization Name | AUTUMN CORPORATION |
| Other Organization Name | AUTUMN CARE OF DREXEL |
| Practice Address |
307 Oakland Ave. Drexel NC 28619-1278 |
| Mailing Address |
307 Oakland Ave Drexel NC 28619-1278 |
| Practice Telephone | 8284336180 |
| Practice Fax Number | 8284336672 |
| Mailing Telephone | 8284336180 |
| Mailing Fax Number | 8284336672 |
| Enumeration Date | 2008-03-13 |
| Last Update Date | 2008-03-13 |
| 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 | NH0347 | NC | Nursing & Custodial Care Facilities |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| NC | 3406277 | 05 |
| Other Name | Type Code |
|---|---|
| Autumn Care of Drexel | 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 |
| 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 |
| 1093791337 | Autumn Corporation | Skilled Nursing Facility | 311 W Phifer Rd, Marshville, NC 28103 | 2005-12-19 |
| Entity Type | Entity Name | Entity Address |
|---|---|---|
| Virginia Business Entities | AUTUMN CORPORATION | 26691 Richmond Rd, Bedford, Ohio 44146-1421 |
| Indiana Business Entities | AUTUMN CORPORATION II | 451 North Winstead Avenue, Post Office Box 7728, Rocky Mount, NC 27804 |
| Connecticut Business Registrations | AUTUMN CORPORATION OF RHODE ISLAND THE | 12 Bassett St, Providence, RI 02903 |
| Street Address |
307 OAKLAND AVE. |
| City | DREXEL |
| State | NC |
| Zip Code | 28619-1278 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1649316902 | Handi-care, Inc. | Technician | 304 S Main Street, Drexel, NC 28619 | 2007-01-30 |
| 1851931422 | Channon Berry | Physical Medicine & Rehabilitation | 307 Oakland Ave, Drexel, NC 28619 | 2020-01-13 |
| 1275677551 | Destiny Management Incorporated | Day Training, Developmentally Disabled Services | 209 Oakland Ave, Drexel, NC 28619-0000 | 2007-02-19 |
| 1942227491 | Timothy Lee Tucker | Dentist | 300 South Main Street, Drexel, NC 28619-0848 | 2006-07-17 |
| 1427194323 | Handi-care, Inc. | Nurse's Aide | 304 South Main St, Drexel, NC 28619-1778 | 2007-01-29 |
| 1194872275 | Arvis Bennett Boughman | Speech-Language Pathologist | 202 Mimosa Drive, Drexel, NC 28619-2795 | 2007-01-04 |
| 1487793139 | Focus Behavioral Health Services, LLC | Community/Behavioral Health | 205 South Main St., Drexel, NC 28619-8619 | 2007-02-06 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1275677551 | Destiny Management Incorporated | Day Training, Developmentally Disabled Services | 209 Oakland Ave, Drexel, NC 28619-0000 | 2007-02-19 |
| 1487793139 | Focus Behavioral Health Services, LLC | Community/Behavioral Health | 205 South Main St., Drexel, NC 28619-8619 | 2007-02-06 |
| 1649316902 | Handi-care, Inc. | Technician | 304 S Main Street, Drexel, NC 28619 | 2007-01-30 |
| 1427194323 | Handi-care, Inc. | Nurse's Aide | 304 South Main St, Drexel, NC 28619-1778 | 2007-01-29 |
| 1194872275 | Arvis Bennett Boughman | Speech-Language Pathologist | 202 Mimosa Drive, Drexel, NC 28619-2795 | 2007-01-04 |
| 1710071477 | Marc E. Finke | Pharmacist | 203 E. Main St., Drexel, MO 64742-0407 | 2006-10-03 |
| 1942227491 | Timothy Lee Tucker | Dentist | 300 South Main Street, Drexel, NC 28619-0848 | 2006-07-17 |
| 1063020253 | Michael Patrick Sanders | Pharmacist | 203 E Main St, Drexel, MO 64742-2503 | 2020-07-14 |
| 1851931422 | Channon Berry | Physical Medicine & Rehabilitation | 307 Oakland Ave, Drexel, NC 28619 | 2020-01-13 |
| 1205393451 | Drexel Pharmacy LLC | Pharmacy | 203 E Main St, Drexel, MO 64742-2503 | 2019-02-25 |
| Find all providers in DREXEL | ||||
| 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 |
|---|---|---|---|---|
| 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 |
| Find all providers with the same taxonomy | ||||
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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.