AUTUMN ACRES PERSONAL CARE CENTER (NPI# 1508851551) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1508851551 |
| Entity Type | Organization |
| Organization Name | AUTUMN ACRES PERSONAL CARE CENTER |
| Practice Address |
400 Autumn Acres Rd Berkeley Springs WV 25411-3202 |
| Practice Telephone | 3042584330 |
| Practice Fax Number | 3042580018 |
| Mailing Telephone | 3042584330 |
| Mailing Fax Number | 3042580018 |
| Enumeration Date | 2005-09-15 |
| Last Update Date | 2020-08-22 |
| Authorized Official Name | MRS. CONNIE TOMSHACK (ADMINISTRATOR) |
| Authorized Official Telephone | 3042584330 |
| Authorized Official Credential | CONSULTANT |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 310400000X | Assisted Living Facility | 506067 | WV | Nursing & Custodial Care Facilities |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| WV | 30021441 | 05 |
| Street Address |
400 AUTUMN ACRES RD |
| City | BERKELEY SPRINGS |
| State | WV |
| Zip Code | 25411-3202 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1013489541 | War Memorial Hospital, Inc. | Internal Medicine | 3774 Valley Road, Berkeley Springs, WV 25411 | 2018-12-21 |
| 1568943397 | Julie Washick | Registered Nurse | Morgan County Board of Education, 247harrison Avenue, Berkeley Springs, WV 25411 | 2018-08-29 |
| 1316493950 | Matthew Ronald Jury | Pharmacist | 8 Gayle Drive, Berkeley Springs, WV 25411 | 2016-09-01 |
| 1457645467 | Zachary Ian Law | Dentist | 345 Concord Avenue, Berkeley Springs, WV 25411 | 2011-06-07 |
| 1467757187 | Wilma Dean Peters | Registered Nurse | 102 Whites Gap Road, Berkeley Springs, WV 25411 | 2011-01-12 |
| 1578877742 | Community Physicians of War Memorial | General Practice | 77 War Memorial Drive, Berkeley Springs, WV 25411 | 2010-07-30 |
| 1194046623 | Mls Counseling Services, LLC | Counselor | 3361 Valley Road, Berkeley Springs, WV 25411 | 2010-06-18 |
| 1053540781 | Amanda Gail Michael | Family Medicine | 2055 Valley Road, Berkeley Springs, WV 25411 | 2009-07-02 |
| 1346426871 | Gina Didawick Mellott | Registered Nurse | 247 Harrison Avenue, Morgan County Board of Education, Berkeley Spgs, WV 25411 | 2008-01-15 |
| 1811197585 | Robert James Dixon | Chiropractor | 122 Independence St., Berkeley Springs, WV 25411 | 2007-07-20 |
| Find all providers in zip 25411 | ||||
| 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 |
|---|---|---|---|---|
| 1265049175 | Devonshire Al Operations, LLC | Assisted Living Facility | 5 Bexley Dr, Scott Depot, WV 25560-4504 | 2020-09-24 |
| 1073099073 | Greenwich Investors Cedar Grove Operator LLC | Assisted Living Facility | 110 Nicolette Rd, Parkersburg, WV 26104-7241 | 2018-07-13 |
| 1225526650 | Jonathan and Blessing LLC | Assisted Living Facility | 5312 Morning Dove Ln, Charleston, WV 25313-1154 | 2018-05-01 |
| 1275040685 | White Oaks Assisted Living | Assisted Living Facility | 140 Professional Place White Oaks, Bridgeport, WV 26330 | 2018-01-08 |
| 1396155487 | Jay Wyn LLC | Assisted Living Facility | 608 North 10th Street, Weirton, WV 26062 | 2014-04-29 |
| 1689084790 | Jay Wyn L.l.c | Assisted Living Facility | 610 North 10th Street, Weirton, WV 26062 | 2014-04-29 |
| 1801211701 | Genesis | Assisted Living Facility | 934 S Fayette St, Beckley, WV 25801-6549 | 2014-02-28 |
| 1538427075 | Windy Hill Village | Assisted Living Facility | 17024 Veterans Memorial Hwy, Kingwood, WV 26537-8013 | 2012-05-02 |
| 1790069656 | Grayson Assisted Living Facility | Assisted Living Facility | 25 Old Trl, 3455 St Rt 75, Huntington, WV 25704-9281 | 2011-10-10 |
| 1164620902 | Braley Care Homes Inc | Assisted Living Facility | 2619 Knox Ave, Saint Albans, WV 25177-2130 | 2007-07-03 |
| Find all providers with the same taxonomy | ||||
| City | BERKELEY SPRINGS |
| Zip Code | 25411 |
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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.