AUTUMN CORPORATION


Address: 360 Old Balsam Rd, Waynesville, NC 28786-8097
Phone: 8284567381

AUTUMN CORPORATION (NPI# 1437320793) 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) 1437320793
Entity Type Organization
Organization Name AUTUMN CORPORATION
Other Organization Name AUTUMN CARE OF WAYNESVILLE
Practice Address 360 Old Balsam Rd
Waynesville
NC 28786-8097
Practice Telephone 8284567381
Practice Fax Number 8284525930
Mailing Telephone 8284567381
Mailing Fax Number 8284525930
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

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
Y 313M00000X Nursing Facility/Intermediate Care Facility NH0366 NC Nursing & Custodial Care Facilities

Other Provider Identifier

State Issuer Identifier Type Code
NC 3496598 05

Other Provider/Organization Names

Other Name Type Code
Autumn Care of Waynesville 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
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
1093791337 Autumn Corporation Skilled Nursing Facility 311 W Phifer Rd, Marshville, NC 28103 2005-12-19

Other Data Sources

Entity Type Entity Name Entity Address
Virginia Business Entities AUTUMN CORPORATION 26691 Richmond Rd, Bedford, Ohio 44146-1421

Office Location

Street Address 360 OLD BALSAM RD
City WAYNESVILLE
State NC
Zip Code 28786-8097

Providers in the same location

NPI Name Taxonomy Address Enumeration
1174133888 Kimberly Marie Caron Speech-Language Pathologist 360 Old Balsam Rd, Waynesville, NC 28786-8097 2020-08-06
1508423526 Amanda Joann Vigil Physical Therapy Assistant 360 Old Balsam Rd, Waynesville, NC 28786-8097 2019-05-24
1902362551 Robin Bradley Occupational Therapy Assistant 360 Old Balsam Rd, Waynesville, NC 28786-8097 2019-02-19
1396260477 Christine Mitchell Harris Nurse Practitioner 360 Old Balsam Rd, Waynesville, NC 28786-8097 2017-08-09
1629426341 Donna Wilson Sanders Occupational Therapist 360 Old Balsam Rd, 360 Old Balsam Road, Waynesville, NC 28786-8097 2016-06-03
1528415601 Amanda Graham Young Rehabilitation Practitioner 360 Old Balsam Rd, Waynesville, NC 28786-8097 2016-05-19
1437506516 Erin Mack Rehabilitation Practitioner 360 Old Balsam Rd, Waynesville, NC 28786-8097 2016-05-19
1780031872 Peggy Buchanan Occupational Therapy Assistant 360 Old Balsam Rd, Waynesville, NC 28786-8097 2016-05-18
1104273432 Melina Patton Cline Occupational Therapy Assistant 360 Old Balsam Rd, Waynesville, NC 28786-8097 2016-05-17
1407203912 Pamela Cammisa Physical Therapy Assistant 360 Old Balsam Rd, Waynesville, NC 28786-8097 2016-05-16
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Providers in the same zip code

NPI Name Taxonomy Address Enumeration
1073005898 Ezekiel Jonathan Watts Chiropractor 627 N Main St Ste 2, Waynesville, NC 28786 2018-06-06
1093228009 Ingles Markets Inc Pharmacy 1670 Brown Ave, Waynesville, NC 28786 2017-11-13
1588198485 Suzanne Howle Speech-Language Pathologist 516 Wall Street, Waynesville, NC 28786 2017-04-18
1477086627 Cm Pharmacy LLC Pharmacy 97 Kent Lane, Waynesville, NC 28786 2017-04-05
1417315524 Meridian Behavioral Health Services, Inc Community/Behavioral Health 495 Brown Ave, Waynesville, NC 28786 2016-02-03
1710342639 Lauren Keeler Pharmacist 259 Barber Blvd, Waynesville, NC 28786 2015-12-18
1124467154 Meridian Behavioral Health Services, Inc. Community/Behavioral Health 367 Dellwood Rd Ste E, Waynesville, NC 28786 2013-06-24
1750681888 Crystal Klunk Counselor 669 South Haywood Street, Waynesville, NC 28786 2010-10-22
1043527294 Amanda Clemmons Savage Pharmacist 366 Russ Ave, Kim's Pharmacy, Waynesville, NC 28786 2010-09-09
1902064355 Rebecca Lynn Mattson Pharmacist 733 Russ Ave, Waynesville, NC 28786 2008-05-31
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Taxonomy Information

Taxonomy Code 313M00000X
Grouping Nursing & Custodial Care Facilities
Classification Nursing Facility/Intermediate Care Facility

Taxonomy Definition

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.

Providers in the same taxonomy and city

NPI Name Taxonomy Address Enumeration
1508041260 Britthaven, Inc. Nursing Facility/Intermediate Care Facility 1349 Crabtree Rd, Waynesville, NC 28785-7315 2007-12-31

Providers in the same taxonomy and state

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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Competitor

Search similar providers

City WAYNESVILLE
Zip Code 28786

Improve Information

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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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