Active NPI
Autumn Corporation
Doing business as Autumn Care of Biscoe
- Nursing Facility/Intermediate Care Facility
- Biscoe, NC
National Provider Identifier
1104808211
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Nursing Facility/Intermediate Care Facility
- Legal business name
- AUTUMN CORPORATION
- Doing business as
- Autumn Care of Biscoe
- Practice address
- 401 Lambert Rd
Biscoe, NC 27209-9002 - Phone
- (910) 428-2117
- Fax
- (910) 428-4651
- NPI assigned
- Nov 15, 2005
- Last updated
- Sep 11, 2025
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Christine S Henson
- Title
- Administrator
- Phone
- (910) 428-2117
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Nursing Facility/Intermediate Care Facility | 313M00000X | NU | Primary | |
| Skilled Nursing Facility | 314000000X | NH0411 | NC |
Addresses
Primary practice location
401 Lambert Rd
Biscoe, NC 27209-9002
Mailing address
PO Box 708
401 Lambert Rd
Biscoe, NC 27209-0708
Phone (910) 428-2117
Other identifiers 2
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 3435000 | Medicaid | NC | |
| 3496597 | Medicaid | NC |
Other names 1
- Autumn Care of Biscoe
National Provider Directory
National Provider Directory- Tax ID family
- Autumn Care of Biscoe
Other organizations with this tax ID 1
Organizations that report the same tax identification number in the National Provider Directory.
-
dba Autumn Care of Biscoe
- Skilled Nursing Facility
- Biscoe, NC
- NPI 1255878245
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1132012800000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1757548800000",
"number": "1104808211",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX 708",
"address_2": "401 LAMBERT RD",
"city": "BISCOE",
"state": "NC",
"postal_code": "272090708",
"telephone_number": "910-428-2117",
"fax_number": "910-428-4651"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "401 LAMBERT RD",
"city": "BISCOE",
"state": "NC",
"postal_code": "272099002",
"telephone_number": "910-428-2117",
"fax_number": "910-428-4651"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "AUTUMN CORPORATION",
"organizational_subpart": "NO",
"enumeration_date": "2005-11-15",
"last_updated": "2025-09-11",
"status": "A",
"authorized_official_last_name": "HENSON",
"authorized_official_first_name": "CHRISTINE",
"authorized_official_middle_name": "S",
"authorized_official_title_or_position": "ADMINISTRATOR",
"authorized_official_telephone_number": "910-428-2117"
},
"taxonomies": [
{
"code": "313M00000X",
"taxonomy_group": "",
"desc": "Nursing Facility/Intermediate Care Facility",
"state": "NU",
"license": null,
"primary": true
},
{
"code": "314000000X",
"taxonomy_group": "",
"desc": "Skilled Nursing Facility",
"state": "NC",
"license": "NH0411",
"primary": false
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "3435000",
"state": "NC"
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "3496597",
"state": "NC"
}
],
"endpoints": [],
"other_names": [
{
"organization_name": "Autumn Care of Biscoe",
"code": "3",
"type": "Doing Business As"
}
]
}Other providers in Biscoe, NC
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 11, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.