Active NPI
Autumn Corporation
- Skilled Nursing Facility
- Fayetteville, NC
National Provider Identifier
1083917413
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Skilled Nursing Facility
- Legal business name
- AUTUMN CORPORATION
- Doing business as
- Autumn Care of Fayetteville
- Practice address
- 1401 71St School Rd
Fayetteville, NC 28314-2814 - Phone
- (910) 973-2348
- NPI assigned
- Dec 7, 2010
- Organization subpart
- Yes
- Parent organization
- AUTUMN CORPORATION
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Sam M Marsh
- Title
- Vice President
- Phone
- (252) 443-6265
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Skilled Nursing Facility | 314000000X | Primary |
Addresses
Primary practice location
1401 71St School Rd
Fayetteville, NC 28314-2814
Mailing address
PO Box 26300
Fayetteville, NC 28314-5021
Other names 1
- Autumn Care of Fayetteville
National Provider Directory
National Provider Directory- Part of
- Autumn Corporation
Member of 1
Organizations this organization is a member of, according to the National Provider Directory.
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1291680000000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1296172800000",
"number": "1083917413",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX 26300",
"city": "FAYETTEVILLE",
"state": "NC",
"postal_code": "283145021"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1401 71ST SCHOOL RD",
"city": "FAYETTEVILLE",
"state": "NC",
"postal_code": "283142814",
"telephone_number": "910-973-2348"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "AUTUMN CORPORATION",
"organizational_subpart": "YES",
"parent_organization_legal_business_name": "AUTUMN CORPORATION",
"enumeration_date": "2010-12-07",
"last_updated": "2011-01-28",
"status": "A",
"authorized_official_last_name": "MARSH",
"authorized_official_first_name": "SAM",
"authorized_official_middle_name": "M",
"authorized_official_title_or_position": "VICE PRESIDENT",
"authorized_official_telephone_number": "252-443-6265"
},
"taxonomies": [
{
"code": "314000000X",
"taxonomy_group": "",
"desc": "Skilled Nursing Facility",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": [
{
"organization_name": "Autumn Care of Fayetteville",
"code": "3",
"type": "Doing Business As"
}
]
}Other providers in Fayetteville, NC
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 28, 2011; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.