AUTUMN CORPORATION (NPI# 1356512602) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
Nation Provider ID (NPI) | 1356512602 |
Entity Type | Organization |
Organization Name | AUTUMN CORPORATION |
Other Organization Name | AUTUMN CARE OF MARION |
Practice Address |
1264 Airport Rd Marion NC 28752-3190 |
Practice Telephone | 8286526701 |
Practice Fax Number | 8286521412 |
Mailing Telephone | 8286526701 |
Mailing Fax Number | 8286521412 |
Enumeration Date | 2008-03-14 |
Last Update Date | 2008-03-14 |
Authorized Official Name | MR. SAM M. MARSH (VICE PRESIDENT OF OPERATIONS) |
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 | NH0346 | NC | Nursing & Custodial Care Facilities |
State | Issuer | Identifier | Type Code |
---|---|---|---|
NC | 3406275 | 05 |
Other Name | Type Code |
---|---|
Autumn Care of Marion | 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 |
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 |
Connecticut Business Registrations | AUTUMN CORPORATION OF RHODE ISLAND THE | 12 Bassett St, Providence, RI 02903 |
Street Address |
1264 AIRPORT RD |
City | MARION |
State | NC |
Zip Code | 28752-3190 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1609852375 | Autumn Corporation | Skilled Nursing Facility | 1264 Airport Rd, Marion, NC 28752-3190 | 2005-12-15 |
1003465972 | Whitney Laney | Physical Therapy Assistant | 1264 Airport Rd, Marion, NC 28752-3190 | 2019-09-04 |
1386291698 | Elizabeth Ann Branch | Physical Therapy Assistant | 1264 Airport Rd, Marion, NC 28752-3190 | 2019-08-21 |
1285191536 | Jessica Elyse Laws | Occupational Therapy Assistant | 1264 Airport Rd, Marion, NC 28752-3190 | 2019-02-22 |
1821501271 | Deonne Gibbs | Occupational Therapy Assistant | 1264 Airport Rd, Marion, NC 28752-3190 | 2017-11-08 |
1407369937 | Anna Starr | Occupational Therapy Assistant | 1264 Airport Rd, Marion, NC 28752-3190 | 2017-11-07 |
1174035893 | Ashley Jill Price | Occupational Therapy Assistant | 1264 Airport Rd, Marion, NC 28752-3190 | 2017-11-03 |
1033621883 | Brittany Shuffler | Physical Therapy Assistant | 1264 Airport Rd, Marion, NC 28752-3190 | 2017-11-02 |
1063924710 | Eric Baker | Physical Therapy Assistant | 1264 Airport Rd, Marion, NC 28752-3190 | 2017-11-02 |
1740792498 | Jamie Clark | Physical Therapy Assistant | 1264 Airport Rd, Marion, NC 28752-3190 | 2017-11-02 |
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NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1932758810 | Teresa Gay Schism | Technician | 1756 Toms Creek Road, Marion, NC 28752 | 2019-09-04 |
1932646205 | Courtney Abrams | Physician Assistant | 472 Rankin Dr., Marion, NC 28752 | 2017-01-25 |
1780127548 | Invitation Therapy | Clinic/Center | 364 Us 70 W Ste 3, Marion, NC 28752 | 2016-11-28 |
1508311580 | Young Men Christian Association of Western North Carolina | Health Educator | 348 Grace Corpening Drive, Marion, NC 28752 | 2016-08-19 |
1417384322 | Cancer Care of Wnc, Pa | Internal Medicine | 430 Rankin Drive, Marion, NC 28752 | 2013-10-09 |
1578990875 | Brian Michael Ware | Family Medicine | 5623 Hwy Us 221 South, Marion, NC 28752 | 2013-10-01 |
1689996332 | Southmountain Children and Family Services | Specialist | 81 W Fort St, Marion, NC 28752 | 2010-02-23 |
1134367345 | Duramed Equipment LLC | Durable Medical Equipment & Medical Supplies | 2024 Nix Creek Rd, Ste B, Marion, NC 28752 | 2009-01-26 |
1326294695 | Mcdowell Hospital | Obstetrics & Gynecology | 1633 Sugar Hill Road, Suite 1, Marion, NC 28752 | 2008-08-18 |
1114173382 | Adrienne Stearns Goodfred | Physical Therapist | 44 Pine Top Drive, Marion, NC 28752 | 2008-08-07 |
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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 |
---|---|---|---|---|
1740211481 | Harding Pointe, Inc | Nursing Facility/Intermediate Care Facility | 340 Oak St, Marion, OH 43302-2263 | 2006-07-05 |
1356398853 | Sunbridge Marion Health Care LLC | Nursing Facility/Intermediate Care Facility | 524 James Way, Marion, OH 43302-7801 | 2006-05-28 |
1124025457 | Premier Providers Inc Dba Bradner Village Health Care Center | Nursing Facility/Intermediate Care Facility | 505 N Bradner Ave, Marion, IN 46952-2449 | 2005-07-01 |
1093979676 | Creative Health Solutions | Nursing Facility/Intermediate Care Facility | 1800 N Wabash Rd Ste 200, Marion, IN 46952-1300 | 2008-07-14 |
1740311620 | Hospital District No 1 Marion Co | Nursing Facility/Intermediate Care Facility | 535 S Freeborn St, Marion, KS 66861-1256 | 2007-03-09 |
1144269630 | Hospital District No 1 Marion Co | Nursing Facility/Intermediate Care Facility | 535 S Freeborn St, Marion, KS 66861-1256 | 2006-06-06 |
1033173323 | Southwestern Virginia Mental Health Institute | Nursing Facility/Intermediate Care Facility | 340 Bagley Circle, Marion, VA 24354-3102 | 2006-04-13 |
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 |
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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.