AUTUMN WIND (NPI# 1457556458) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1457556458 |
| Entity Type | Organization |
| Organization Name | AUTUMN WIND |
| Practice Address |
507 W Pinewood St Roseboro NC 28382-5259 |
| Practice Telephone | 9105254082 |
| Practice Fax Number | 9105254059 |
| Mailing Telephone | 9105254082 |
| Mailing Fax Number | 9105254059 |
| Enumeration Date | 2007-06-19 |
| Last Update Date | 2020-08-22 |
| Authorized Official Name | MR. JESSE CHAD STEWART (ADMINISTRATOR) |
| Authorized Official Telephone | 9105254082 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 310400000X | Assisted Living Facility | HAL082012 | NC | Nursing & Custodial Care Facilities |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| NC | 321ECS57 | 05 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1477988558 | Autumn Wind | Assisted Living Facility | 135 Autumn Wind Ct, Mineola, TX 75773-0017 | 2013-09-09 |
| 1467776831 | Autumn Wind | Assisted Living Facility | 1004 E. Coke Rd, Winnsboro, TX 75494 | 2010-03-15 |
| Entity Type | Entity Name | Entity Address |
|---|---|---|
| Virginia Business Entities | AUTUMN WIND ASSET MANAGEMENT INC. | 10132-g Colvin Run Road, Great Falls, Virginia 22066 |
| Washington State Corporations | AUTUMN WIND RENNOVATION, LLC | 17607 E Boone Ave, Spokane Valley, WA 99016 |
| Washington State Corporations | AUTUMN WIND, L.L.C. | 4746 Ohana Ln, Clinton, WA 98236-9655 |
| Vermont Business Registrations | AUTUMN WINDS RESTAURANT | 181 Main Street, Brattleboro, VT 05301 |
| Oregon Corporations, Companies and Business Names | AUTUMN WINDS SENIOR LIVING CENTER OF ST HELENS LLC | 3080 Nw Park View Ln, Portland, OR 97229 |
| Oregon Corporations, Companies and Business Names | AUTUMN WINDS SENIOR LIVING CENTERS LLC | 3080 Nw Park View Ln, Portland, OR 97229 |
| Street Address |
507 W PINEWOOD ST |
| City | ROSEBORO |
| State | NC |
| Zip Code | 28382-5259 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1821512369 | Roseboro Opco, LLC | Assisted Living Facility | 507 W Pinewood St, Roseboro, NC 28382-5259 | 2017-07-26 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1922373174 | Lisa Smith | Pharmacist | 218 Martin Luther King Jr. Hwy, Roseboro, NC 28382 | 2012-03-20 |
| 1023321874 | Thomas Latham West | Pharmacist | 218 Mlk Jr Hwy, Roseboro, NC 28382 | 2010-07-22 |
| 1942497086 | Upscale Residential Care, Inc | Residential Treatment Facility, Mental Retardation and/or Developmental Disabilities | 614 North Maple Place, Roseboro, NC 28382 | 2007-10-03 |
| 1033243761 | Lewis Treatment Facility | Residential Treatment Facility, Emotionally Disturbed Children | 116 Marion-amos Road, Roseboro, NC 28382 | 2007-03-15 |
| 1952470999 | Atlantic Radiology Associates | Radiology | 105 West Street, Roseboro, NC 28382 | 2006-11-06 |
| 1922184779 | Mathew John Schmitt | Dentist | 401 Hwy 24 West, Roseboro, NC 28382 | 2006-10-27 |
| 1356451058 | Kerr Drug Inc | Pharmacy | 218 W Martin Luther King Blvd, Roseboro, NC 28382 | 2006-08-30 |
| 1285740142 | Powells Medical Facility | Medical Genetics, Ph.D. Medical Genetics | 201 W Clinton St, Roseboro, NC 28382 | 2006-08-22 |
| 1053326686 | Tart and West Druggists | Pharmacy | 110 Roseboro St, Roseboro, NC 28382 | 2006-07-30 |
| 1467888313 | Walgreen Co | Durable Medical Equipment & Medical Supplies | 218 W Martin Luther King Blvd, Roseboro, NC 28382 | 2013-09-24 |
| Find all providers in zip 28382 | ||||
| Taxonomy Code | 310400000X |
| Grouping | Nursing & Custodial Care Facilities |
| Classification | Assisted Living Facility |
| A facility providing supportive services to individuals who can function independently in most areas of activity, but need assistance and/or monitoring to assure safety and well being. |
| Notes: [7/1/2003: new] |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1821512369 | Roseboro Opco, LLC | Assisted Living Facility | 507 W Pinewood St, Roseboro, NC 28382-5259 | 2017-07-26 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1629689104 | B&b Assisted Living Care LLC | Assisted Living Facility | 9461 Us Hwy 710s, Rowland, NC 28383 | 2020-08-10 |
| 1306465745 | Cedar Senior Living, LLC. | Assisted Living Facility | 670 Cedar Lake Ln, Clinton, NC 28328-8986 | 2020-04-15 |
| 1003444258 | Trinity Developmental Center, LLC | Assisted Living Facility | 4027 Franklin Meadows Dr, Matthews, NC 28105-6935 | 2020-03-31 |
| 1114562147 | Taylor Care Group, LLC | Assisted Living Facility | 1188 Bertha Wilson Rd, Blanch, NC 27212-9795 | 2019-11-13 |
| 1710528377 | Grace Village Inc | Assisted Living Facility | 501 River Bend Dr., Granite Falls, NC 28630 | 2019-10-04 |
| 1336799246 | Tieshquanna Ciare Richardson | Assisted Living Facility | 312 Kilgo St, Clayton, NC 27520-1651 | 2019-09-13 |
| 1326695404 | Snh Nc Tenant LLC | Assisted Living Facility | 5920 Mcchesney Dr, Charlotte, NC 28269-6238 | 2019-08-22 |
| 1659928174 | Coastal Pointe Senior Living LLC | Assisted Living Facility | 5220 Ocean Hwy W, Shallotte, NC 28470-4006 | 2019-08-20 |
| 1861046674 | A1a-arc of Dunn, LLC | Assisted Living Facility | 217 Jonesboro Rd, Dunn, NC 28334-6240 | 2019-07-30 |
| 1679137665 | Kenzi Care LLC | Assisted Living Facility | 668 Wood Rd, Taylorsville, NC 28681 | 2019-04-25 |
| 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.