AUTUMN CORPORATION (NPI# 1255502514) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1255502514 |
| Entity Type | Organization |
| Organization Name | AUTUMN CORPORATION |
| Other Organization Name | AUTUMN CARE OF MYRTLE GROVE |
| Practice Address |
5725 Carolina Beach Rd Wilmington NC 28412-2611 |
| Practice Telephone | 9107921455 |
| Practice Fax Number | 9107921492 |
| Mailing Telephone | 9107921455 |
| Mailing Fax Number | 9107921492 |
| 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 | NH0595 | NC | Nursing & Custodial Care Facilities |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| NC | 340613D | 05 |
| Other Name | Type Code |
|---|---|
| Autumn Care of Myrtle Grove | 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 |
| 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 |
5725 CAROLINA BEACH RD |
| City | WILMINGTON |
| State | NC |
| Zip Code | 28412-2611 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1073599635 | Autumn Corporation | Skilled Nursing Facility | 5725 Carolina Beach Rd, Wilmington, NC 28412-2611 | 2005-12-15 |
| 1861959025 | Ashley Stalnaker | Occupational Therapist | 5725 Carolina Beach Rd, Wilmington, NC 28412-2611 | 2019-02-25 |
| 1649736349 | Elizabeth Karlsmark | Occupational Therapy Assistant | 5725 Carolina Beach Rd, Wilmington, NC 28412-2611 | 2019-02-18 |
| 1962985796 | Emilie Clark | Physical Therapist | 5725 Carolina Beach Rd, Wilmington, NC 28412-2611 | 2018-09-07 |
| 1730687153 | Steven Gregory Bennett | Physical Therapy Assistant | 5725 Carolina Beach Rd, Wilmington, NC 28412-2611 | 2018-01-31 |
| 1528500089 | Christopher David Holub | Physical Therapist | 5725 Carolina Beach Rd, Wilmington, NC 28412-2611 | 2016-11-14 |
| 1649627571 | Joseph Mazur | Occupational Therapy Assistant | 5725 Carolina Beach Rd, Wilmington, NC 28412-2611 | 2016-05-20 |
| 1578910402 | Amy Beahan | Physical Therapy Assistant | 5725 Carolina Beach Rd, Wilmington, NC 28412-2611 | 2016-05-20 |
| 1104273093 | Ac Myrtle Grove | Skilled Nursing Facility | 5725 Carolina Beach Rd, Wilmington, NC 28412-2611 | 2016-05-20 |
| 1083061592 | Kristen Pierce | Occupational Therapist | 5725 Carolina Beach Rd, Wilmington, NC 28412-2611 | 2016-05-16 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1891357166 | Alexandra Palamaru | Dentist | 2759, 6132 Carolina Beach Rd., 6, Wilmington, NC 28412 | 2019-07-08 |
| 1447640115 | Carrie Anne Emory | Physician Assistant | 1124 Gallery Park Blvd, #200, Wilmington, NC 28412 | 2015-02-02 |
| 1144639295 | Christina Marie Terry | Physical Therapist | 7842 Champlain Dr, Wilmington, NC 28412 | 2014-08-03 |
| 1972889715 | New Hanover House, LLC | Assisted Living Facility | 3915 Stedwick Court, Wilmington, NC 28412 | 2011-10-25 |
| 1538440672 | Celine Adair | Marriage & Family Therapist | 9809 River Rd, Wilmington, NC 28412 | 2011-09-02 |
| 1033412267 | American Anesthesiology of North Carolina, Pllc | Anesthesiology | 2520 Independence Blvd, Suite 200, Wilmington, NC 28412 | 2010-12-09 |
| 1932418357 | Dale Autry | Pharmacist | 3625 South College Road, Wilmington, NC 28412 | 2010-10-04 |
| 1528390762 | Sheila Flynn | Counselor | 710 St. Andrews Dr. #18, Wilmington, NC 28412 | 2010-02-12 |
| 1952563686 | Stephen Rolfe Wells | Anesthesiology | 2520 Independence Boulevard, Suite 200, Wilmington, NC 28412 | 2008-06-25 |
| 1396902722 | Henry D Browning Iv | Dentist | 604 Junction Creek, Wilmington, NC 28412 | 2008-05-22 |
| Find all providers in zip 28412 | ||||
| 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 |
|---|---|---|---|---|
| 1750632030 | Sci-coastal House I and II | Nursing Facility/Intermediate Care Facility | 1974 W Lakeshore Drive, Wilmington, NC 28401-6856 | 2012-09-26 |
| 1467680561 | Pike Creek Healthcare Services LLC | Nursing Facility/Intermediate Care Facility | 3540 Three Little Bakers Blvd, Wilmington, DE 19808-1754 | 2009-06-26 |
| 1477674349 | Ssc Wilmington Operating Company LLC | Nursing Facility/Intermediate Care Facility | 820 Wellington Ave, Wilmington, NC 28401-7618 | 2007-04-02 |
| 1144369828 | The Mary Campbell Center | Nursing Facility/Intermediate Care Facility | 4641 Weldin Rd, Wilmington, DE 19803-4829 | 2007-02-06 |
| 1639179948 | Delaware Health Corporation | Nursing Facility/Intermediate Care Facility | 2801 W 6th St, Wilmington, DE 19805-1828 | 2005-07-28 |
| 1679907133 | Madeline Care Center, LLC | Nursing Facility/Intermediate Care Facility | 4800 Lancaster Pike, Wilmington, DE 19807-2559 | 2013-09-02 |
| 1023368719 | Onix Silverside LLC | Nursing Facility/Intermediate Care Facility | 3322 Silverside Rd, Wilmington, DE 19810-3307 | 2012-09-11 |
| 1184854515 | Masonic Home of Delaware, Inc. | Nursing Facility/Intermediate Care Facility | 4800 Lancaster Pike, Wilmington, DE 19807-2559 | 2009-07-20 |
| 1144487828 | Cadia Healthcare Riverside | Nursing Facility/Intermediate Care Facility | 700 W Lea Blvd, Wilmington, DE 19802-2500 | 2008-05-20 |
| 1720275159 | Britthaven, Inc. | Nursing Facility/Intermediate Care Facility | 221 Summer Rest Rd, Wilmington, NC 28405-4135 | 2007-10-01 |
| Find all providers in WILMINGTON | ||||
| City | WILMINGTON |
| Zip Code | 28412 |
Please comment or provide details below to improve the information on AUTUMN CORPORATION.
| 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.