AUTUMN CORPORATION (NPI# 1942467964) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1942467964 |
| Entity Type | Organization |
| Organization Name | AUTUMN CORPORATION |
| Other Organization Name | AUTUMN CARE OF FOREST CITY |
| Practice Address |
451 N Winstead Ave Rocky Mount NC 27804-2230 |
| Mailing Address |
Po Box 7728 Rocky Mount NC 27804-0728 |
| Practice Telephone | 2524436265 |
| Practice Fax Number | 2524432703 |
| Mailing Telephone | 2524436265 |
| Mailing Fax Number | 2524432703 |
| Enumeration Date | 2008-05-19 |
| Last Update Date | 2008-05-19 |
| Authorized Official Name | MR. SAM M MARSH (VICE PRESIDENT) |
| Authorized Official Telephone | 2524436265 |
| Authorized Official Credential | CPA |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 311Z00000X | Custodial Care Facility | NH0474 | NC | Nursing & Custodial Care Facilities |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| NC | 7803873 | 05 |
| Other Name | Type Code |
|---|---|
| Autumn Care of Forest City | 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 |
| 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 |
| 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 |
| Street Address |
451 N WINSTEAD AVE |
| City | ROCKY MOUNT |
| State | NC |
| Zip Code | 27804-2230 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1992288419 | Aubrey Kuester | Physical Therapist | Hunter Hills Nursing and Rehab, 7369 Hunter Hill Rd, Rocky Mount, NC 27804 | 2018-09-11 |
| 1134636475 | New Beginning Family Services of Nc | Clinic/Center | 600 Tiffany Blvd Ste H, Rocky Mount, NC 27804 | 2018-01-09 |
| 1033640776 | Simply Frazier Beauty Salon | Specialist | 1141 Jeffreys Rd, Rocky Mount, NC 27804 | 2017-03-24 |
| 1164961942 | Family Care Partners of North Carolina, Pllc | Internal Medicine | 1041 Noel Ln. Ste 105, Rocky Mt., NC 27804 | 2017-02-14 |
| 1164834867 | Ward Specialty Pharmacy LLC | Pharmacy | 3646 Sunset Ave, Suite 110 Barkley Square, Rocky Mount, NC 27804 | 2014-05-29 |
| 1891107678 | Patrick Ignacio | Pharmacist | 3646 Sunset Ave., Suite 110, Rocky Mount, NC 27804 | 2014-05-28 |
| 1023437795 | Down East Hearing | Hearing Aid Equipment | 1356 Benvenue Rd., Rocky Mount, NC 27804 | 2014-04-10 |
| 1659710416 | Sterling House of Rocky Mount | Assisted Living Facility | 650 Goldrock Road, Sterling House of Rocky Mount, Rocky Mount, NC 27804 | 2013-06-14 |
| 1700223609 | Keenya Anderson Staten | Nurse Practitioner | 1701 Sunset Ave Ste 105c, Rocky Mount, NC 27804 | 2013-05-31 |
| 1578844528 | Nathan Thomas Long | Pharmacist | 300 N Grace St Ste 150, Rocky Mount, NC 27804 | 2011-09-05 |
| Find all providers in zip 27804 | ||||
| Taxonomy Code | 311Z00000X |
| Grouping | Nursing & Custodial Care Facilities |
| Classification | Custodial Care Facility |
| A facility providing care that serves to assist an individual in the activities of daily living, such as assistance in walking, getting in and out of bed, bathing, dressing, feeding, and using the toilet, preparation of special diets, and supervision of medication that usually can be self-administered. Custodial care essentially is personal care that does not require the continuing attention of trained medical or paramedical personnel. |
| Notes: Source: Paraphrased from Section 3159 A3 of the Medicare Intermediary Manual. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1669070215 | My Guardian Angel Family Care Home | Custodial Care Facility | 514 Cokey Road, Rocky Mount, NC 27801 | 2020-10-15 |
| 1679940555 | Agape' Adult Day Care Home, LLC | Custodial Care Facility | 412 S Grace St, Rocky Mount, NC 27804-5815 | 2015-08-27 |
| 1699057711 | Brooke Earl Care Foundation | Custodial Care Facility | 1219 W Thomas St, Rocky Mount, NC 27804-4545 | 2011-09-14 |
| 1255646949 | Easter Seals Ucp of North Carolina & Virginia | Custodial Care Facility | 715 Falls Rd, Rocky Mount, NC 27804-2725 | 2010-08-18 |
| 1164737854 | Easter Seals Ucp of North Carolina & Virginia, Inc | Custodial Care Facility | 511 Western Ave, Rocky Mount, NC 27804-5626 | 2010-08-18 |
| 1194030783 | Easter Seals Ucp of North Carolina & Virginia, Inc. | Custodial Care Facility | 101 Hannah Ln, Rocky Mount, NC 27803-4268 | 2010-08-09 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1932692159 | Carillon Assisted Living of Garner LLC | Custodial Care Facility | 200 Minglewood Dr, Garner, NC 27529-5273 | 2018-06-12 |
| 1821598335 | Sonya Waddell | Custodial Care Facility | 6025 Dustin Ridge Ct, Rural Hall, NC 27045-9011 | 2018-02-21 |
| 1376065003 | Carillon Assisted Living of Mint Hill, LLC | Custodial Care Facility | 5601 Margaret Wallace Road, Matthews, NC 28105 | 2017-07-14 |
| 1518331669 | Carillon Assisted Living of Huntersville, LLC | Custodial Care Facility | 250 Commerce Center Dr, Huntersville, NC 28078 | 2015-11-30 |
| 1871961631 | Wake Forest Adult Day Care Inc | Custodial Care Facility | 3309 Rogers Rd, Suite 117, Wake Forest, NC 27587-3943 | 2015-09-10 |
| 1407238355 | Guardian Care Advisors, Inc. | Custodial Care Facility | 1320 Ashley Sq, Winston Salem, NC 27103-2919 | 2015-06-26 |
| 1275922171 | Freedom Ministries Church and Outreach | Custodial Care Facility | 539 Railway Place, Concord, NC 28025-0000 | 2015-01-15 |
| 1962803551 | Carillon Assisted Living of Clemmons, LLC | Custodial Care Facility | 1165 S Peace Haven Rd, Clemmons, NC 27012-8910 | 2014-09-15 |
| 1487062311 | Douglas Family Care | Custodial Care Facility | 1439 Us Highway 13 S, Ahoskie, NC 27910-8125 | 2014-07-23 |
| 1639585649 | Carillon Assisted Living of Wake Forest LLC | Custodial Care Facility | 3218 Heritage Trade Dr, Wake Forest, NC 27587-4238 | 2014-07-10 |
| Find all providers with the same taxonomy | ||||
| City | ROCKY MOUNT |
| Zip Code | 27804 |
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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.