Active NPI
Autumn Corporation
Doing business as Autumn Care of Madison
- Skilled Nursing Facility
- Madison, VA
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Skilled Nursing Facility
- License
- NH2485
- 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, 2022
- Organization subpart
- Yes
- Parent organization
- SABER HEALTHCARE HOLDINGS, LLC
NPPES NPI Registry
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) | Code | License | State | Primary |
|---|---|---|---|---|
| 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
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 4952448 | Medicaid | VA |
Other names 1
- Autumn Care of Madison
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in VA
Enrollment records 1
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| 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
- Corporation
- 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).
-
dba Shenandoah Nursing Home
- Skilled Nursing Facility
- Fishersville, VA
- NPI 1003892662
9133117351
-
dba Autumn Care of Suffolk
- Skilled Nursing Facility
- Suffolk, VA
- NPI 1154307890
9133117351
-
dba Waddell Nursing & Rehab Center
- Skilled Nursing Facility
- Galax, VA
- NPI 1366428922
9133117351
-
dba Autumn Care of Mechanicsville
- Skilled Nursing Facility
- Mechanicsville, VA
- NPI 1366789075
9133117351
-
dba Autumn Care of Norfolk
- Skilled Nursing Facility
- Norfolk, VA
- NPI 1376529925
9133117351
-
dba Autumn Care of Portsmouth
- Skilled Nursing Facility
- Portsmouth, VA
- NPI 1710963459
9133117351
-
dba Autumn Care of Chesapeake
- Skilled Nursing Facility
- Chesapeake, VA
- NPI 1770569410
9133117351
-
dba Autumn Care of Nash
- Skilled Nursing Facility
- Nashville, NC
- NPI 1053396788
9133117351
-
dba Autumn Care of Myrtle Grove
- Skilled Nursing Facility
- Wilmington, NC
- NPI 1073599635
9133117351
-
dba Autumn Care of Marshville
- Skilled Nursing Facility
- Marshville, NC
- NPI 1093791337
9133117351
-
dba Autumn Care of Drexel
- Skilled Nursing Facility
- Morganton, NC
- NPI 1275519506
9133117351
-
dba Autumn Care of Shallotte
- Skilled Nursing Facility
- Shallotte, NC
- NPI 1346226040
9133117351
Care Compare: Nursing home
Medicare Care Compare- Listed as
- Autumn Care of Madison
- Overall star rating
- Health inspections
- Staffing
- Quality measures
- Type
- Medicare and Medicaid
- Ownership
- For profit - Limited Liability company
- Certified
- Jul 1, 1991
- Medicare certification status
- Active
- Certified beds
- 92
- Chain
- Saber Healthcare Group
National Provider Directory
National Provider Directory- Tax ID family
- Autumn Corporation
Other organizations with this tax ID 38
Organizations that report the same tax identification number in the National Provider Directory.
-
dba Shenandoah Nursing Home
- Skilled Nursing Facility
- Fishersville, VA
- NPI 1003892662
-
dba Waddell Nursing & Rehab Center
- Skilled Nursing Facility
- Galax, VA
- NPI 1366428922
-
dba Autumn Care of Mechanicsville
- Skilled Nursing Facility
- Mechanicsville, VA
- NPI 1366789075
-
dba Autumn Care of Portsmouth
- Skilled Nursing Facility
- Portsmouth, VA
- NPI 1710963459
-
dba Autumn Care of Chesapeake
- Skilled Nursing Facility
- Chesapeake, VA
- NPI 1770569410
-
dba Autumn Care of Myrtle Grove
- Skilled Nursing Facility
- Wilmington, NC
- NPI 1073599635
-
dba Autumn Care of Marshville
- Skilled Nursing Facility
- Marshville, NC
- NPI 1093791337
-
dba Autumn Care of Saluda
- Nursing Facility/Intermediate Care Facility
- Saluda, NC
- NPI 1154592418
-
dba Autumn Care of Nash
- Nursing Facility/Intermediate Care Facility
- Nashville, NC
- NPI 1164693412
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.
| Name | Role | Since | Share |
|---|---|---|---|
| Saber Healthcare Holdings LLC | 5% Or Greater Indirect Ownership Interest | Mar 1, 2016 | 100% |
| Chelsie Jenkins | Operational/Managerial Control | Sep 30, 2024 | |
| Adp of the SNF | Sep 30, 2024 | ||
| Benjamin N. Volpe Family Dynasty Trust (Dated December 29, 2020) | 5% Or Greater Indirect Ownership Interest | Jan 1, 2023 | 33% |
| Gregory Nicoluzakis | Corporate Officer | Mar 1, 2019 | |
| Adp of the SNF | Mar 1, 2019 | ||
| SHG Management LLC | Operational/Managerial Control | Sep 1, 2019 | |
| Adp of the SNF | Sep 1, 2019 | ||
| Saber Governance LLC | Adp of the SNF | Sep 1, 2019 | |
| BNV Dynasty LLC | 5% Or Greater Indirect Ownership Interest | Jan 1, 2023 | 33% |
| Benjamin N Volpe | Corporate Officer | Mar 1, 2019 | |
| Corporate Director | Mar 1, 2019 | 50% | |
| Adp of the SNF | Mar 1, 2019 | ||
| SHG Autumn, LLC | 5% Or Greater Direct Ownership Interest | Mar 1, 2016 | 100% |
| Citrin Cooperman Advisors LLC | Adp of the SNF | Mar 1, 2016 | |
| Wiw Dynasty LLC | 5% Or Greater Indirect Ownership Interest | Jan 1, 2023 | 67% |
| William I Weisberg | Corporate Officer | Mar 1, 2019 | |
| Walker & Associates PC | Adp of the SNF | Mar 1, 2016 | |
| Cibc Bank USA | Adp of the SNF | Mar 31, 2021 | |
| Ohi Asset (VA) Madison, LLC | 5% Or Greater Mortgage Interest | Mar 1, 2016 | 100% |
| Joseph C Hopkins | Operational/Managerial Control | May 8, 2023 | |
| Adp of the SNF | May 8, 2023 | ||
| Decanted William I. Weisberg Family Dynasty Trust (Dated Sept 30, 2020 | 5% Or Greater Indirect Ownership Interest | Jan 1, 2023 | 67% |
| SHG Mt, 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.
| Facility | Type | Role | Since |
|---|---|---|---|
| Autumn Care of Biscoe | Skilled nursing facility | 5% Or Greater Direct Ownership Interest (100%) Adp of the SNF |
Apr 1, 2017 May 6, 2026 |
| Village Care of King | Skilled nursing facility | 5% Or Greater Direct Ownership Interest (100%) | Apr 1, 2017 |
| Autumn Care of Fayetteville | Skilled nursing facility | 5% Or Greater Direct Ownership Interest (100%) | Apr 1, 2017 |
| Brunswick Health & Rehab Center | Skilled nursing facility | 5% Or Greater Direct Ownership Interest (100%) | Dec 1, 2017 |
| Davie Nursing and Rehabilitation Center | Skilled nursing facility | Direct Ownership Interest (100%) | Feb 19, 2019 |
| Autumn Care of Statesville | Skilled nursing facility | 5% Or Greater Direct Ownership Interest (100%) | Dec 31, 2019 |
| Autumn Care of Altavista | 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.
-
- Skilled Nursing Facility
- Altavista, VA
- NPI 1316582133
5% Or Greater Direct Ownership Interest
-
dba Autumn Care of Biscoe
- Skilled Nursing Facility
- Biscoe, NC
- NPI 1255878245
5% Or Greater Direct Ownership Interest, Adp of the SNF
-
- Skilled Nursing Facility
- Fayetteville, NC
- NPI 1114463932
5% Or Greater Direct Ownership Interest
-
dba Autumn Care of Statesville
- Skilled Nursing Facility
- Statesville, NC
- NPI 1730722240
5% Or Greater Direct Ownership Interest
-
- Skilled Nursing Facility
- Ash, NC
- NPI 1558872333
5% Or Greater Direct Ownership Interest
-
- Skilled Nursing Facility
- Mocksville, NC
- NPI 1912485517
Direct Ownership Interest
-
dba Village Care of King
- Skilled Nursing Facility
- King, NC
- NPI 1629515499
5% Or Greater Direct Ownership Interest
Facilities with the same owner 122
Facilities that share an organizational owner with 5% or greater ownership or operational control.
-
- Skilled Nursing Facility
- Altavista, VA
- NPI 1316582133
Benjamin N. Volpe Family Dynasty Trust (Dated December 29, 2020), BNV Dynasty LLC, Decanted William I. Weisberg Family Dynasty Trust (Dated Sept 30, 2020, Saber Healthcare Holdings LLC, SHG Autumn, LLC, SHG Management LLC, Wiw Dynasty LLC
-
dba Shenandoah Nursing Home
- Skilled Nursing Facility
- Fishersville, VA
- NPI 1003892662
Benjamin N. Volpe Family Dynasty Trust (Dated December 29, 2020), BNV Dynasty LLC, Decanted William I. Weisberg Family Dynasty Trust (Dated Sept 30, 2020, Saber Healthcare Holdings LLC, SHG Autumn, LLC, Wiw Dynasty LLC
-
dba Autumn Care of Suffolk
- Skilled Nursing Facility
- Suffolk, VA
- NPI 1154307890
Benjamin N. Volpe Family Dynasty Trust (Dated December 29, 2020), BNV Dynasty LLC, Decanted William I. Weisberg Family Dynasty Trust (Dated Sept 30, 2020, Saber Healthcare Holdings LLC, SHG Autumn, LLC, SHG Management LLC, Wiw Dynasty LLC
-
dba Waddell Nursing & Rehab Center
- Skilled Nursing Facility
- Galax, VA
- NPI 1366428922
Benjamin N. Volpe Family Dynasty Trust (Dated December 29, 2020), BNV Dynasty LLC, Decanted William I. Weisberg Family Dynasty Trust (Dated Sept 30, 2020, Saber Healthcare Holdings LLC, SHG Autumn, LLC, SHG Management LLC, Wiw Dynasty LLC
-
dba Autumn Care of Mechanicsville
- Skilled Nursing Facility
- Mechanicsville, VA
- NPI 1366789075
Benjamin N. Volpe Family Dynasty Trust (Dated December 29, 2020), BNV Dynasty LLC, Decanted William I. Weisberg Family Dynasty Trust (Dated Sept 30, 2020, Saber Healthcare Holdings LLC, SHG Autumn, LLC, SHG Management LLC, Wiw Dynasty LLC
-
dba Autumn Care of Norfolk
- Skilled Nursing Facility
- Norfolk, VA
- NPI 1376529925
Benjamin N. Volpe Family Dynasty Trust (Dated December 29, 2020), BNV Dynasty LLC, Decanted William I. Weisberg Family Dynasty Trust (Dated Sept 30, 2020, Saber Healthcare Holdings LLC, SHG Autumn, LLC, SHG Management LLC, Wiw Dynasty LLC
-
dba Autumn Care of Portsmouth
- Skilled Nursing Facility
- Portsmouth, VA
- NPI 1710963459
Benjamin N. Volpe Family Dynasty Trust (Dated December 29, 2020), BNV Dynasty LLC, Decanted William I. Weisberg Family Dynasty Trust (Dated Sept 30, 2020, Saber Healthcare Holdings LLC, SHG Autumn, LLC, Wiw Dynasty LLC
-
dba Autumn Care of Chesapeake
- Skilled Nursing Facility
- Chesapeake, VA
- NPI 1770569410
Benjamin N. Volpe Family Dynasty Trust (Dated December 29, 2020), BNV Dynasty LLC, Decanted William I. Weisberg Family Dynasty Trust (Dated Sept 30, 2020, Saber Healthcare Holdings LLC, SHG Autumn, LLC, SHG Management LLC, Wiw Dynasty LLC
-
dba Chatham Health and Rehabilitation Center
- Skilled Nursing Facility
- Chatham, VA
- NPI 1982831582
Benjamin N. Volpe Family Dynasty Trust (Dated December 29, 2020), BNV Dynasty LLC, Decanted William I. Weisberg Family Dynasty Trust (Dated Sept 30, 2020, Saber Healthcare Holdings LLC, Wiw Dynasty LLC
-
dba Tyler's Retreat at Iron Bridge
- Skilled Nursing Facility
- Chester, VA
- NPI 1376774745
Benjamin N. Volpe Family Dynasty Trust (Dated December 29, 2020), BNV Dynasty LLC, Decanted William I. Weisberg Family Dynasty Trust (Dated Sept 30, 2020, Saber Healthcare Holdings LLC, SHG Management LLC, Wiw Dynasty LLC
-
- Skilled Nursing Facility
- Clarksville, VA
- NPI 1134738248
Benjamin N. Volpe Family Dynasty Trust (Dated December 29, 2020), BNV Dynasty LLC, Decanted William I. Weisberg Family Dynasty Trust (Dated Sept 30, 2020, Saber Healthcare Holdings LLC, Wiw Dynasty LLC
-
- Skilled Nursing Facility
- Virginia Beach, VA
- NPI 1720697840
SHG Management LLC
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
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 10, 2022; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; facility enrollments, owners and changes of ownership; Provider of Services certification data.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.