AUTUMN CORPORATION (NPI# 1225014376) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1225014376 |
| 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 | 2525394161 |
| Practice Fax Number | 2525394361 |
| Mailing Telephone | 2524436265 |
| Mailing Fax Number | 2524432703 |
| Enumeration Date | 2005-12-21 |
| 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 | 311Z00000X | Custodial Care Facility | HAL066006 | NC | Nursing & Custodial Care Facilities |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| NC | CUSTODIAL - HA | 7803072 | 01 |
| 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 |
| 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 |
| Entity Type | Entity Name | Entity Address |
|---|---|---|
| Virginia Business Entities | AUTUMN CORPORATION | 26691 Richmond Rd, Bedford, Ohio 44146-1421 |
| Street Address |
320 N. MAIN ST |
| City | RICH SQUARE |
| State | NC |
| Zip Code | 27869 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1205812427 | Autumn Corporation | Skilled Nursing Facility | 320 N. Main St, Rich Square, NC 27869 | 2005-12-20 |
| 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 | 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 |
|---|---|---|---|---|
| 1750367801 | Autumn Corporation | Custodial Care Facility | 320 N. Main St, Rich Square, NC 27869 | 2005-12-21 |
| 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 |
| 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 |
| Find all providers with the same taxonomy | ||||
| City | RICH SQUARE |
| Zip Code | 27869 |
Please comment or provide details below to improve the information on AUTUMN CORPORATION.
| 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.