AUTUMN CORPORATION (NPI# 1710963459) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1710963459 |
| Entity Type | Organization |
| Organization Name | AUTUMN CORPORATION |
| Other Organization Name | AUTUMN CARE OF PORTSMOUTH |
| Practice Address |
3610 Winchester Dr Portsmouth VA 23707-4330 |
| Practice Telephone | 7573970725 |
| Practice Fax Number | 7573979944 |
| Mailing Telephone | 7573970725 |
| Mailing Fax Number | 7573979944 |
| Enumeration Date | 2005-12-15 |
| Last Update Date | 2019-01-18 |
| Authorized Official Name | WILLIAM I. WEISBERG (VICE PRESIDENT) |
| Authorized Official Telephone | 2162925706 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 314000000X | Skilled Nursing Facility | NH2487 | VA | Nursing & Custodial Care Facilities |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| VA | 4951948 | 05 |
| Other Name | Type Code |
|---|---|
| Autumn Care of Portsmouth | 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 |
3610 WINCHESTER DR |
| City | PORTSMOUTH |
| State | VA |
| Zip Code | 23707-4330 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1881040616 | Nabila Fisher | Occupational Therapist | 3610 Winchester Dr, Portsmouth, VA 23707-4330 | 2016-05-11 |
| 1871949685 | Parul Patel | Physical Therapist | 3610 Winchester Dr, Portsmouth, VA 23707-4330 | 2016-05-11 |
| 1174951552 | Erin Breckenridge | Speech-Language Pathologist | 3610 Winchester Dr, Portsmouth, VA 23707-4330 | 2013-10-23 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1508410382 | Ricky Lee Key Sr. | Counselor | Kaleidoscope Counseling and Case Management, 1712 Airline Blvd, Portsmouth, VA 23707 | 2019-07-30 |
| 1528627965 | Amy M Baker | Student in an Organized Health Care Education/Training Program | 3640 High Street, Suite 2f Portsmouth Family Medicine, Portsmouth, VA 23707 | 2019-06-10 |
| 1033774625 | Himani Bhasin | Student in an Organized Health Care Education/Training Program | 3640 High Street (suite 2f), Evms Family Medicine - Portsmouth Program, Portsmouth, VA 23707 | 2019-05-08 |
| 1851854442 | Emma Daymond | Student in an Organized Health Care Education/Training Program | 3640 High Street, Suite 2f, Portsmouth, VA 23707 | 2019-04-10 |
| 1407329543 | Heart Harmony Home Health and Services | Home Health | 505 Cumberland Street, Suite 2, Portsmouth, VA 23707 | 2019-01-10 |
| 1548780869 | A. Richards Counseling & Psychotherapy, LLC | Substance Abuse Rehabilitation Facility | 720 Rodman Ave., Portsmouth, VA 23707 | 2017-06-27 |
| 1316485196 | Melinda Macy | Occupational Therapy Assistant | 314 Florida Ave, Portsmouth, VA 23707 | 2017-02-01 |
| 1831526045 | Anointed and Blessed Home Health Care, LLC | Home Health | 806 Loudoun Ave, Portsmouth, VA 23707 | 2013-10-02 |
| 1639236284 | The Center for Pain Management | Clinic/Center | 3315 High Street, Portsmouth, VA 23707 | 2007-01-02 |
| 1750444741 | Wal-mart Stores East, Lp | Technician/Technologist | 1098 Fredrick Blvd, Portsmouth, VA 23707 | 2006-12-19 |
| Find all providers in zip 23707 | ||||
| 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 |
|---|---|---|---|---|
| 1760015119 | Mikaylah Lang | Skilled Nursing Facility | 4505 Georgewashington Hwy, Portsmouth, VA 23702 | 2020-02-13 |
| 1669713897 | Med-systems of Portsmouth LLC | Skilled Nursing Facility | 1319 Spring St, Portsmouth, OH 45662-3715 | 2013-03-13 |
| 1447312046 | Edgewood Manor Inc | Skilled Nursing Facility | 928 South St, Portsmouth, NH 03801-5421 | 2006-12-14 |
| 1437195450 | Thi of Ohio At Golden Years LLC | Skilled Nursing Facility | 2125 Royce St, Portsmouth, OH 45662-4714 | 2006-06-20 |
| 1275578163 | Heartland of Portsmouth Oh LLC | Skilled Nursing Facility | 20 Easter Dr, Portsmouth, OH 45662-8659 | 2006-06-17 |
| 1881645182 | Ggnsc Portsmouth LLC | Skilled Nursing Facility | 900 London Blvd, Portsmouth, VA 23704-2236 | 2006-05-12 |
| 1548251358 | Sentara Life Care Corporation | Skilled Nursing Facility | 4201 Greenwood Dr, Portsmouth, VA 23701-3250 | 2005-11-01 |
| 1972500692 | Kkj Enterprises, Inc | Skilled Nursing Facility | 1319 Spring Street, Portsmouth, OH 45662 | 2005-07-07 |
| 1205397080 | Portside Health & Rehab Center, LLC | Skilled Nursing Facility | 4201 Greenwood Dr, Portsmouth, VA 23701-3250 | 2019-03-26 |
| 1548744287 | Portsmouth Healthcare LLC | Skilled Nursing Facility | 20 Easter Dr, Portsmouth, OH 45662-8659 | 2018-09-19 |
| Find all providers in PORTSMOUTH | ||||
| City | PORTSMOUTH |
| Zip Code | 23707 |
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.