Organization Active NPI

Autumn Corporation

Doing business as Autumn Care of Madison

  • Skilled Nursing Facility
  • Madison, VA
National Provider Identifier
1194701888
Registry record updated Jan 10, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Skilled Nursing FacilityTaxonomy code 314000000X
License
NH2485 Issued in VA
Legal business name
AUTUMN CORPORATION
Doing business as
Autumn Care of Madison
Practice address
1 Autumn CT
Madison, VA 22727-3028
Phone
(540) 948-3054
Fax
(540) 948-4297
NPI assigned
Dec 15, 2005
Last updated
Jan 10, 2022By the provider in NPPES
Organization subpart
Yes
Parent organization
SABER HEALTHCARE HOLDINGS, LLCAs reported in NPPES

NPPES NPI Registry

Updated by the provider on Jan 10, 2022

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name
William I. Weisberg
Title
President
Phone
(216) 292-5706

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Skilled Nursing Facility 314000000X NH2485 VA Primary

Addresses

Primary practice location

1 Autumn CT
Madison, VA 22727-3028

Mailing address

23700 Commerce Park
Beachwood, OH 44122-5827
Phone (216) 292-5706

Other identifiers 1

IdentifierTypeStateIssuer
4952448MedicaidVA

Other names 1

  • Autumn Care of Madison Doing business as

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in VA

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20120130000619 VA Part A Provider - Skilled Nursing Facility 9133117351 Practice locations: Madison, VA

NPI to CCN mapping 1

The Medicare certification numbers (CCNs) connected to NPI 1194701888. Details of each certification follow.

Skilled nursing facility certification: CCN 495244

Legal name
AUTUMN CORPORATION
Doing business as
AUTUMN CARE OF MADISON
Certification status
Active
Provider type (POS)
Nursing home – SNF/NF dual certification
Participating since
Jul 1, 1991
Last certification
Feb 23, 2023
Beds
92
Ownership / control type
Corporation
Multi-facility organization
Saber Healthcare
Organization structure
CorporationProprietary
Incorporated
Feb 25, 1977 in NC
Enrollment address
One Autumn Court
Madison, VA 22727
Nursing home name
AUTUMN CARE OF MADISON
Affiliated entity
SABER HEALTHCARE GROUP

Other NPIs with the same Medicare PAC ID 18

NPIs whose Medicare enrollments share a PECOS associate control ID (the same enrolled entity).

View all 18

Care Compare: Nursing home

Medicare Care Compare
Listed as
Autumn Care of MadisonCCN 495244 · All quality measures
Overall star rating
2 of 5
Health inspections
3 of 5
Staffing
1 of 5
Quality measures
4 of 5
Type
Medicare and Medicaid
Ownership
For profit - Limited Liability company
Certified
Jul 1, 1991
Medicare certification status
ActiveFrom the Provider of Services file
Certified beds
9280.6 residents per day on average
Chain
Saber Healthcare Group126 facilities in the chain

Processed by Care Compare on Aug 1, 2026.

National Provider Directory

National Provider Directory
Tax ID family
Autumn Corporation39 organizations share this tax ID, including this one

Other organizations with this tax ID 38

Organizations that report the same tax identification number in the National Provider Directory.

View all 38

Ownership & related parties

All disclosed owners & managing parties 18

As disclosed on the Medicare enrollment (CMS All Owners files). Individuals include officers, directors and managing employees, who may not hold ownership.

NameRoleSinceShare
Saber Healthcare Holdings LLC Organization, Beachwood, OH LLC, Holding company, For-profit, Owned by another organization or individual 5% Or Greater Indirect Ownership Interest Mar 1, 2016 100%
Chelsie Jenkins Individual Operational/Managerial Control Sep 30, 2024
Adp of the SNF Sep 30, 2024
Benjamin N. Volpe Family Dynasty Trust (Dated December 29, 2020) Organization, Beachwood, OH 5% Or Greater Indirect Ownership Interest Jan 1, 2023 33%
Gregory Nicoluzakis Individual Corporate OfficerSecretary Mar 1, 2019
Adp of the SNF Mar 1, 2019
SHG Management LLC Organization, Beachwood, OH Operational/Managerial Control Sep 1, 2019
Adp of the SNF Sep 1, 2019
Saber Governance LLC Organization, Beachwood, OH Adp of the SNF Sep 1, 2019
BNV Dynasty LLC Organization, Beachwood, OH LLC 5% Or Greater Indirect Ownership Interest Jan 1, 2023 33%
Benjamin N Volpe Individual Corporate OfficerVice President & Treasurer Mar 1, 2019
Corporate DirectorVice President & Treasurer Mar 1, 2019 50%
Adp of the SNF Mar 1, 2019
SHG Autumn, LLC Organization, Beachwood, OH LLC, Holding company, For-profit 5% Or Greater Direct Ownership Interest Mar 1, 2016 100%
Citrin Cooperman Advisors LLC Organization, Woodmere, OH LLC Adp of the SNF Mar 1, 2016
Wiw Dynasty LLC Organization, Beachwood, OH LLC, Owned by another organization or individual 5% Or Greater Indirect Ownership Interest Jan 1, 2023 67%
William I Weisberg Individual Corporate OfficerPresident Mar 1, 2019
Walker & Associates PC Organization, Roanoke, VA Corporation Adp of the SNF Mar 1, 2016
Cibc Bank USA Organization, Chicago, IL Financial institution Adp of the SNF Mar 31, 2021
Ohi Asset (VA) Madison, LLC Organization, Hunt Valley, MD LLC, Real estate investment trust (REIT) 5% Or Greater Mortgage Interest Mar 1, 2016 100%
Joseph C Hopkins Individual Operational/Managerial Control May 8, 2023
Adp of the SNF May 8, 2023
Decanted William I. Weisberg Family Dynasty Trust (Dated Sept 30, 2020 Organization, Beachwood, OH 5% Or Greater Indirect Ownership Interest Jan 1, 2023 67%
SHG Mt, LLC Organization, Beachwood, OH LLC Adp of the SNF Apr 29, 2026

All facility ownership & control disclosures 7

Facilities whose Medicare enrollment lists this provider’s PECOS associate ID as an owner or managing party.

FacilityTypeRoleSince
Autumn Care of BiscoeBiscoe, NC, CCN 345000 Skilled nursing facility 5% Or Greater Direct Ownership Interest (100%)
Adp of the SNF
Apr 1, 2017
May 6, 2026
Village Care of KingKing, NC, CCN 345381 Skilled nursing facility 5% Or Greater Direct Ownership Interest (100%) Apr 1, 2017
Autumn Care of FayettevilleFayetteville, NC, CCN 345553 Skilled nursing facility 5% Or Greater Direct Ownership Interest (100%) Apr 1, 2017
Brunswick Health & Rehab CenterCalabash, NC, CCN 345575 Skilled nursing facility 5% Or Greater Direct Ownership Interest (100%) Dec 1, 2017
Davie Nursing and Rehabilitation CenterMocksville, NC, CCN 345129 Skilled nursing facility Direct Ownership Interest (100%) Feb 19, 2019
Autumn Care of StatesvilleStatesville, NC, CCN 345511 Skilled nursing facility 5% Or Greater Direct Ownership Interest (100%) Dec 31, 2019
Autumn Care of AltavistaAltavista, VA, CCN 495196 Skilled nursing facility 5% Or Greater Direct Ownership Interest (100%) Feb 1, 2020

Owned or controlled facilities with NPI records 7

Facilities whose Medicare enrollment lists this provider as an owner, officer, director or managing party.

Facilities with the same owner 122

Facilities that share an organizational owner with 5% or greater ownership or operational control.

View all 122

Practitioners & affiliated clinicians

Affiliated clinicians 2

Clinicians who list this facility as an affiliation in Medicare Care Compare.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1134604800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1641772800000",
    "number": "1194701888",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "23700 COMMERCE PARK",
            "city": "BEACHWOOD",
            "state": "OH",
            "postal_code": "441225827",
            "telephone_number": "216-292-5706"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1 AUTUMN CT",
            "city": "MADISON",
            "state": "VA",
            "postal_code": "227273028",
            "telephone_number": "540-948-3054",
            "fax_number": "540-948-4297"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "AUTUMN CORPORATION",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "SABER HEALTHCARE HOLDINGS, LLC",
        "enumeration_date": "2005-12-15",
        "last_updated": "2022-01-10",
        "certification_date": "2022-01-10",
        "status": "A",
        "authorized_official_last_name": "WEISBERG",
        "authorized_official_first_name": "WILLIAM",
        "authorized_official_middle_name": "I.",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "216-292-5706"
    },
    "taxonomies": [
        {
            "code": "314000000X",
            "taxonomy_group": "",
            "desc": "Skilled Nursing Facility",
            "state": "VA",
            "license": "NH2485",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "4952448",
            "state": "VA"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Autumn Care of Madison",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "Autumn Care of Madison",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Madison, VA

Sources for this page

Verify at the official NPI Registry.