AUTUMN CORPORATION (NPI# 1205812427) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1205812427 |
| Entity Type | Organization |
| Organization Name | AUTUMN CORPORATION |
| Practice Address |
320 N. Main St Rich Square NC 27869 |
| Mailing Address |
Po Box 7728 Rocky Mount NC 27804-0728 |
| Practice Telephone | 2524394161 |
| Practice Fax Number | 2524394361 |
| Mailing Telephone | 2524436265 |
| Mailing Fax Number | 2524432703 |
| Enumeration Date | 2005-12-20 |
| Last Update Date | 2020-08-22 |
| Authorized Official Name | MR. SAM M. MARSH (VICE PRESIDENT/CFO) |
| Authorized Official Telephone | 2524436265 |
| Authorized Official Credential | CPA |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 314000000X | Skilled Nursing Facility | NH0045 | NC | Nursing & Custodial Care Facilities |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| NC | 3415356 | 05 |
| 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 |
| 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 |
| 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 |
320 N. MAIN ST |
| City | RICH SQUARE |
| State | NC |
| Zip Code | 27869 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1225014376 | Autumn Corporation | Custodial Care Facility | 320 N. Main St, Rich Square, NC 27869 | 2005-12-21 |
| 1750367801 | Autumn Corporation | Custodial Care Facility | 320 N. Main St, Rich Square, NC 27869 | 2005-12-21 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1538619911 | Eastside Ems, Inc | Ambulance | 308 West Jackson Street, Rich Square, NC 27869 | 2016-10-10 |
| 1396130134 | Carmelita Edwards | Counselor | 123 N Main Street, Rich Square, NC 27869 | 2015-03-30 |
| 1356641468 | Nicole S Howell | Pharmacist | 124 South Main Street, Rich Square, NC 27869 | 2010-10-25 |
| 1588803068 | Community Day Program, LLC | Community/Behavioral Health | 117 W Jackson St., Rich Square, NC 27869 | 2009-02-06 |
| 1063670511 | Letesha Renee Gibson | Counselor | Hwy 258 409 N Main Street, Rich Square, NC 27869 | 2008-05-30 |
| 1912115585 | Robert Boone Outland Jr. | Dentist | 504 South Main St, Rich Square, NC 27869 | 2007-05-18 |
| 1538380134 | Mesina Reddish | Dietitian, Registered | 116 Pine Street, Rich Square, NC 27869 | 2007-05-01 |
| 1518996404 | Kind Hearts Home Health Care, Inc. | Home Health | 104 Short St., P. O. Drawer 820, Rich Square, NC 27869 | 2006-07-02 |
| 1023519063 | Hsc Therapeutic Counseling Services, Pllc | Counselor | 409 North Main Street, Rich Square, NC 27869 | 2018-02-26 |
| 1205340247 | Justin Shepherd | Physician Assistant | 200 S Main St, Rich Square, NC 27869 | 2017-11-29 |
| Find all providers in zip 27869 | ||||
| Taxonomy Code | 314000000X |
| Grouping | Nursing & Custodial Care Facilities |
| Classification | Skilled Nursing Facility |
| (1) A skilled nursing facility is a facility or distinct part of an institution whose primary function is to provide medical, continuous nursing, and other health and social services to patients who are not in an acute phase of illness requiring services in a hospital, but who require primary restorative or skilled nursing services on an inpatient basis above the level of intermediate or custodial care in order to reach a degree of body functioning to permit self care in essential daily living. It meets any licensing or certification standards et forth by the jurisdiction where it is located. A skilled nursing facility may be a freestanding facility or part of a hospital that has been certified by Medicare to admit patients requiring subacute care and rehabilitation; (2) Provides non-acute medical and skilled nursing care services, therapy and social services under the supervision of a licensed registered nurse on a 24-hour basis. |
| Notes: Source: (1) "Glossary of terms used in managed care" Developed by the Managed Care Assembly (MCA) of Medical Group Management Association (MGMA), MGM Journal, September/October 1995, p. 64; (2) AHA Guide, 1996 Annual Survey. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1598127276 | Rich Square Operations, LLC | Skilled Nursing Facility | 300 N Main St, Rich Square, NC 27869-9577 | 2016-03-22 |
| 1336216779 | Rv Nursing Home, LLC | Skilled Nursing Facility | 320 North Main Street, Rich Square, NC 27869-0560 | 2006-11-29 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1164063756 | Cary Senior Housing I Opco, LLC | Skilled Nursing Facility | 221 Brightmore Dr, Cary, NC 27518-8145 | 2019-10-04 |
| 1629535455 | Liberty Healthcare Group, LLC | Skilled Nursing Facility | 621 Chestnut Ridge Pkwy, Blowing Rock, NC 28605-8962 | 2019-02-28 |
| 1871063214 | Vero Health X, LLC | Skilled Nursing Facility | 417 Cloverdale Rd, Sylva, NC 28779-0679 | 2018-11-28 |
| 1821573809 | Carolina Bay Healthcare Center of Wilmington, LLC | Skilled Nursing Facility | 740 Diamond Shoals Rd, Wilmington, NC 28403-4388 | 2018-09-26 |
| 1093228397 | Bellarose Nursing and Rehab Center, Inc. | Skilled Nursing Facility | 200 Bellarose Lake Way, Garner, NC 27529-7049 | 2017-11-08 |
| 1558872333 | Brunswick Health & Rehab Center, LLC | Skilled Nursing Facility | 9600 No 5 School Rd Nw, Ash, NC 28420-2122 | 2017-10-19 |
| 1538684212 | Eagle Acquisition Vi LLC | Skilled Nursing Facility | 901 S Halstead Blvd., Elizabeth City, NC 27909-6920 | 2017-08-03 |
| 1982130811 | Ashton Health and Rehabilitation, LLC | Skilled Nursing Facility | 5533 Burlington Rd, Mc Leansville, NC 27301-9622 | 2017-05-11 |
| 1831625037 | Supplemental Healthcare | Skilled Nursing Facility | 319 Vancouver Drive, Apartment 38g, Fayetteville, NC 28303 | 2017-05-08 |
| 1811422256 | Complete Care At Dartmouth LLC | Skilled Nursing Facility | 300 Province Road, Charlotte, NC 28207 | 2017-04-24 |
| Find all providers with the same taxonomy | ||||
| City | RICH SQUARE |
| Zip Code | 27869 |
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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.