NPIMap

Organization Active NPI

Autumn Corporation

  • Custodial Care Facility
  • Rich Square, NC
National Provider Identifier
1225014376
Registry record updated Aug 22, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Custodial Care FacilityTaxonomy code 311Z00000X
License
HAL066006 Issued in NC
Legal business name
AUTUMN CORPORATION
Practice address
320 N. Main St
Rich Square, NC 27869
Phone
(252) 539-4161
Fax
(252) 539-4361
NPI assigned
Dec 21, 2005
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 22, 2020

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

Authorized official

Name
Mr. Sam M. Marsh, CPA
Title
Vice President/Cfo
Phone
(252) 443-6265

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Custodial Care Facility 311Z00000X HAL066006 NC Primary

Addresses

Primary practice location

320 N. Main St
Rich Square, NC 27869

Mailing address

PO Box 7728
Rocky Mount, NC 27804-0728
Phone (252) 443-6265

Other identifiers 1

IdentifierTypeStateIssuer
7803072OtherNCCUSTODIAL - HA

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

NPI Registry JSON

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

{
    "created_epoch": "1135123200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1225014376",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 7728",
            "city": "ROCKY MOUNT",
            "state": "NC",
            "postal_code": "278040728",
            "telephone_number": "252-443-6265",
            "fax_number": "252-443-2703"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "320 N. MAIN ST",
            "city": "RICH SQUARE",
            "state": "NC",
            "postal_code": "27869",
            "telephone_number": "252-539-4161",
            "fax_number": "252-539-4361"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "AUTUMN CORPORATION",
        "organizational_subpart": "NO",
        "enumeration_date": "2005-12-21",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "MARSH",
        "authorized_official_first_name": "SAM",
        "authorized_official_middle_name": "M.",
        "authorized_official_title_or_position": "VICE PRESIDENT/CFO",
        "authorized_official_telephone_number": "252-443-6265",
        "authorized_official_name_prefix": "Mr.",
        "authorized_official_credential": "CPA"
    },
    "taxonomies": [
        {
            "code": "311Z00000X",
            "taxonomy_group": "",
            "desc": "Custodial Care Facility",
            "state": "NC",
            "license": "HAL066006",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "CUSTODIAL - HA",
            "identifier": "7803072",
            "state": "NC"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Rich Square, NC

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 22, 2020; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.