The Autumn Group, Inc.

Primary specialty

Assisted Living FacilityTaxonomy code 310400000X

License

043-015 Issued in NC

Legal business name

THE AUTUMN GROUP, INC.

Practice address

9767 NC 210 N
Angier, NC 27501-6632

Phone

(919) 639-9000

Fax

(919) 639-9435

NPI assigned

Aug 13, 2007

Organization subpart

No

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

Authorized official

Name

Mr. Jeffrey Barnes Stephenson

Title

President

Phone

(919) 572-1702

Specialties & licenses 1

Addresses

Other identifiers 1

Locations

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

{
    "created_epoch": "1186963200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1213833600000",
    "number": "1255523429",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "9767 NC 210 N",
            "city": "ANGIER",
            "state": "NC",
            "postal_code": "275016632",
            "telephone_number": "919-639-9000",
            "fax_number": "919-639-9435"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "9767 NC 210 N",
            "city": "ANGIER",
            "state": "NC",
            "postal_code": "275016632",
            "telephone_number": "919-639-9000",
            "fax_number": "919-639-9435"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "THE AUTUMN GROUP, INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-08-13",
        "last_updated": "2008-06-19",
        "status": "A",
        "authorized_official_last_name": "STEPHENSON",
        "authorized_official_first_name": "JEFFREY",
        "authorized_official_middle_name": "BARNES",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "919-572-1702",
        "authorized_official_name_prefix": "Mr."
    },
    "taxonomies": [
        {
            "code": "310400000X",
            "taxonomy_group": "",
            "desc": "Assisted Living Facility",
            "state": "NC",
            "license": "043-015",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "7803347",
            "state": "NC"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Shannon Marie Staiger, LCMHC
• Elizabeth Lynn Stanton, PT, DPT, LAT, ATC
• Trina Stephenson
• Diego Studart
• Anneliese Marie Tebedo, FNP-C
• John Arthur Thomason, PH.D.
• Melissa Tittinger, PHARMD
• Triangle Healthcare Training Center
• Glenn Tripp, PA
• Antonio L Trotter Sr.

• Assisted Living Facility in Angier, NC
• Providers in Angier, NC by specialty
• Assisted Living Facility in North Carolina

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 19, 2008; 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.