Autumn Woods Residential Health Care Facility LLC

Primary specialty

Skilled Nursing FacilityTaxonomy code 314000000X

License

504240 Issued in MI

Legal business name

AUTUMN WOODS RESIDENTIAL HEALTH CARE FACILITY LLC

Practice address

29800 Hoover Rd
Warren, MI 48093-3483

Phone

(158) 657-4344

Fax

(586) 574-9548

NPI assigned

Jul 6, 2005

Last updated

Sep 24, 2013By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Mrs. Elizabeth J Wolf, RN

Title

Administrator/Vice President

Phone

(586) 574-3444

Specialties & licenses 1

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Enrolled in WI

Enrollment records 1

NPI to CCN mapping 1

The Medicare certification numbers (CCNs) connected to NPI 1205833175. Details of each certification follow.

• CCN 235427 Skilled nursing facility · Active · Details

Skilled nursing facility certification: CCN 235427

Legal name

AUTUMN WOODS RESIDENTIAL HEALTH CARE FACILITY LLC

Certification status

Active

Provider type (POS)

Nursing home – SNF/NF distinct part

Participating since

Jan 27, 1983

Last certification

Jul 25, 2024

Beds

293

Ownership / control type

Limited Liability Corporation

Multi-facility organization

The McGuire Group

Organization structure

LLCProprietary

Enrollment address

29800 Hoover Rd
Warren, MI 48093-3483

Nursing home name

AUTUMN WOODS RESIDENTIAL HEALTH

Listed as

Autumn Woods Residential HealthCCN 235427 · All quality measures

Overall star rating

2 of 5

Health inspections

2 of 5

Staffing

3 of 5

Quality measures

3 of 5

Type

Medicare and Medicaid

Ownership

For profit - Limited Liability company

Certified

Jan 27, 1983

Medicare certification status

ActiveFrom the Provider of Services file

Certified beds

293225.1 residents per day on average

Abuse citation

Cited for abuse (Care Compare abuse icon)

Processed by Care Compare on Aug 1, 2026.

Tax ID family

Autumn Woods Residential HC2 organizations share this tax ID, including this one

Other organizations with this tax ID 1

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

• Autumn Woods Residential Health Care Facility LLC

  • Skilled Nursing Facility
  • Warren, MI
  • NPI 1821515719
  NPD tax ID

All disclosed owners & managing parties 9

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

Owners & managing parties with NPI records 1

Owners and managing parties disclosed on this facility’s Medicare enrollment that are themselves Medicare-enrolled.

• Melody Anne Angel, MD

  • Family Medicine Physician
  • Lansing, MI
  • NPI 1770662025

  Contracted Managing Employee

  CMS ownership

Practitioners 4

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

• Melody Anne Angel, MD

  • Family Medicine Physician
  • Lansing, MI
  • NPI 1770662025
  NPD (past)
• Ronald Y Barnett, DO

  • Geriatric Medicine (Internal Medicine) Physician
  • Livonia, MI
  • NPI 1760492011
  NPD (past)
• Garrett Howard Smith, M.D.

  • Internal Medicine Physician
  • Novi, MI
  • NPI 1053519298
  NPD (past)
• Anthony Dequann Spearman, M.D.

  • Internal Medicine Physician
  • Southfield, MI
  • NPI 1639453228
  NPD (past)

Affiliated clinicians 4

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

• Melody Anne Angel, MD

  • Family Medicine Physician
  • Lansing, MI
  • NPI 1770662025

  Nursing home

  Care Compare affiliation
• Anvita Bitta Saini, M.D.

  • Internal Medicine Physician
  • Novi, MI
  • NPI 1558461392

  Nursing home

  Care Compare affiliation
• Ghanem Sharabi, MD

  • Internal Medicine Physician
  • Warren, MI
  • NPI 1508874504

  Nursing home

  Care Compare affiliation
• Anthony Dequann Spearman, M.D.

  • Internal Medicine Physician
  • Southfield, MI
  • NPI 1639453228

  Nursing home

  Care Compare affiliation

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

{
    "created_epoch": "1120608000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1379980800000",
    "number": "1205833175",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "29800 HOOVER RD",
            "city": "WARREN",
            "state": "MI",
            "postal_code": "480933483",
            "telephone_number": "158-657-4344",
            "fax_number": "586-574-9548"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "29800 HOOVER RD",
            "city": "WARREN",
            "state": "MI",
            "postal_code": "480933483",
            "telephone_number": "158-657-4344",
            "fax_number": "586-574-9548"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "AUTUMN WOODS RESIDENTIAL HEALTH CARE FACILITY LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2005-07-06",
        "last_updated": "2013-09-24",
        "status": "A",
        "authorized_official_last_name": "WOLF",
        "authorized_official_first_name": "ELIZABETH",
        "authorized_official_middle_name": "J",
        "authorized_official_title_or_position": "ADMINISTRATOR/VICE PRESIDENT",
        "authorized_official_telephone_number": "586-574-3444",
        "authorized_official_name_prefix": "Mrs.",
        "authorized_official_credential": "RN"
    },
    "taxonomies": [
        {
            "code": "314000000X",
            "taxonomy_group": "",
            "desc": "Skilled Nursing Facility",
            "state": "MI",
            "license": "504240",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "2155021",
            "state": "MI"
        }
    ],
    "endpoints": [],
    "other_names": []
}

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• Skilled Nursing Facility in Warren, MI
• Providers in Warren, MI by specialty
• Skilled Nursing Facility in Michigan

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 24, 2013; 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.

Verify at the official NPI Registry.