AUTUMN CORPORATION (NPI# 1336310697) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1336310697 |
| Entity Type | Organization |
| Organization Name | AUTUMN CORPORATION |
| Other Organization Name | AUTUMN CARE OF MARSHVILLE |
| Practice Address |
311 W Phifer St Marshville NC 28103-1322 |
| Practice Telephone | 7046246643 |
| Practice Fax Number | 7046242022 |
| Mailing Telephone | 7046246643 |
| Mailing Fax Number | 7046242022 |
| Enumeration Date | 2008-03-14 |
| Last Update Date | 2008-03-14 |
| Authorized Official Name | MR. SAM M. MARSH (VICE PRESIDENT OF FINANCE) |
| Authorized Official Telephone | 2524436265 |
| Authorized Official Credential | CPA |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 313M00000X | Nursing Facility/Intermediate Care Facility | NH0421 | NC | Nursing & Custodial Care Facilities |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| NC | 3406391 | 05 |
| Other Name | Type Code |
|---|---|
| Autumn Care of Marshville | 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 |
| 1942467964 | Autumn Corporation | Custodial Care Facility | 451 N Winstead Ave, Rocky Mount, NC 27804-2230 | 2008-05-19 |
| 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 |
311 W PHIFER ST |
| City | MARSHVILLE |
| State | NC |
| Zip Code | 28103-1322 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1154801181 | Brittany Ratliff Garrison | Speech-Language Pathologist | 311 W Phifer St, Marshville, NC 28103-1322 | 2018-08-20 |
| 1720592405 | Jeff Ringo | Physical Therapy Assistant | 311 W Phifer St, Marshville, NC 28103-1322 | 2017-11-17 |
| 1043723885 | Carmen Eudy Whitley | Occupational Therapy Assistant | 311 W Phifer St, Marshville, NC 28103-1322 | 2017-11-15 |
| 1801242409 | Katlyn Sigmon | Speech-Language Pathologist | 311 W Phifer St, 608, Marshville, NC 28103-1322 | 2016-05-12 |
| 1144676982 | Jeffrey Brett Rowland | Physical Therapy Assistant | 311 W Phifer St, Marshville, NC 28103-1322 | 2016-05-11 |
| 1265888010 | Elizabeth Price | Occupational Therapy Assistant | 311 W Phifer St, Marshville, NC 28103-1322 | 2016-05-11 |
| 1295181964 | Kellie Hatley Sides | Occupational Therapy Assistant | 311 W Phifer St, Marshville, NC 28103-1322 | 2016-05-11 |
| 1669828349 | Teresa Keeney | Occupational Therapy Assistant | 311 W Phifer St, Marshville, NC 28103-1322 | 2016-05-11 |
| 1285080010 | Lea Anne Flake | Physical Therapy Assistant | 311 W Phifer St, Marshville, NC 28103-1322 | 2016-05-11 |
| 1558693762 | Nicole Craven Clark | Occupational Therapist | 311 W Phifer St, Marshville, NC 28103-1322 | 2010-02-12 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1700062817 | The Upper Group Inc. | Local Education Agency (LEA) | 6017 Highway 74 West Blvd., Po.111, Marshville, NC 28103 | 2008-01-18 |
| 1578786562 | The Mental Health Association In North Carolina, Inc. | Community Based Residential Treatment Facility, Mental Illness | Box 4213 Ridge Run St, Marshville, NC 28103 | 2007-04-10 |
| 1932277761 | Marshville Pharmacy Inc | Pharmacy | 6330 A West Marshville Blvd, Marshville, NC 28103 | 2006-12-01 |
| 1093791337 | Autumn Corporation | Skilled Nursing Facility | 311 W Phifer Rd, Marshville, NC 28103 | 2005-12-19 |
| 1558927590 | Tall Family Services, Inc. | Community Based Residential Treatment Facility, Mental Illness | 1915 Hasty Rd, Marshville, NC 28103-0029 | 2019-05-15 |
| 1861744971 | Joseph Elmo Green | Family Medicine | 609 Old Hyw 74, Marshville, NC 28103-0146 | 2012-10-12 |
| 1932686425 | Pamela C Smith | Registered Nurse | 502 N Elm St, Marshville, NC 28103-1029 | 2018-07-26 |
| 1306977871 | Pierce Family Wellness Center, Pllc | Chiropractor | 6315 W Marshville Blvd, Marshville, NC 28103-1176 | 2007-03-08 |
| 1932363744 | Dva Healthcare Renal Care Inc | Clinic/Center | 7260 E Marshville Blvd, Marshville, NC 28103-1191 | 2008-07-11 |
| 1104839935 | Americare Ehalth | Family Medicine | 7204 E Marshville Blvd, Marshville, NC 28103-1191 | 2006-08-14 |
| Find all providers in zip 28103 | ||||
| Taxonomy Code | 313M00000X |
| Grouping | Nursing & Custodial Care Facilities |
| Classification | Nursing Facility/Intermediate Care Facility |
| An institution (or a distinct part of an institution) which- (1) is primarily engaged in providing to residents- (A) skilled nursing care and related services for residents who require medical or nursing care, (B) rehabilitation services for the rehabilitation of injured, disabled, or sick persons, or, on a regular basis, health-related care and services to individuals who because of their mental or physical condition require care and services (above the level of room and board) which can be made available to them only through institutional facilities, and is not primarily for the care and treatment of mental diseases; (2) has in effect a transfer agreement with one or more hospitals. |
| Notes: Source: Paraphrased from Section 1919 (a) of the Social Security Act. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1841617974 | Christopher Rushmeyer | Nursing Facility/Intermediate Care Facility | 1820 Harris Houston Rd, Unit 621411, Charlotte, NC 28262-9253 | 2014-03-26 |
| 1306284674 | Legacy | Nursing Facility/Intermediate Care Facility | 903 W Main Street, Yadkinville, NC 27055 | 2013-06-10 |
| 1194077024 | Skill Creations | Nursing Facility/Intermediate Care Facility | 2101 Royall Ave, Goldsboro, NC 27534-7408 | 2012-10-02 |
| 1093066375 | Sci-east | Nursing Facility/Intermediate Care Facility | 338 Cooper St, Winterville, NC 28590-9507 | 2012-09-26 |
| 1053662437 | Skill Creations of Clinton | Nursing Facility/Intermediate Care Facility | 223 Forest Trail, Clinton, NC 28328-3353 | 2012-09-26 |
| 1821349101 | Sci-duplin House | Nursing Facility/Intermediate Care Facility | 120 Orville Street, Warsaw, NC 28398-2221 | 2012-09-26 |
| 1801147186 | Skill Creations of Kenansville | Nursing Facility/Intermediate Care Facility | 218 S Stokes Street, Kenansville, NC 28349-0001 | 2012-09-26 |
| 1750632030 | Sci-coastal House I and II | Nursing Facility/Intermediate Care Facility | 1974 W Lakeshore Drive, Wilmington, NC 28401-6856 | 2012-09-26 |
| 1760732994 | Sci-triangle House II | Nursing Facility/Intermediate Care Facility | 1523 Tyonek Dr, Durham, NC 27703-5639 | 2012-09-14 |
| 1275883498 | Skill Creations of Kinston | Nursing Facility/Intermediate Care Facility | 901 Doctors Dr, Kinston, NC 28501-1574 | 2012-09-14 |
| Find all providers with the same taxonomy | ||||
| City | MARSHVILLE |
| Zip Code | 28103 |
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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.