Autumn Care of Biscoe, LLC
Organization Active NPI Skilled Nursing Facility · Biscoe, NC
NPI 1255878245 · NPPES record last updated Dec 19, 2022
Key facts
- NPI
- 1255878245
- Entity type
- Organization (NPI type 2)
- Primary specialty
- Skilled Nursing Facility 314000000X
- Legal business name
- AUTUMN CARE OF BISCOE, LLC
- Practice address
- 401 Lambert Rd
Biscoe, NC 27209-9002 - Phone
- (910) 428-2117
- Fax
- (910) 428-1165
- NPI assigned
- Jan 27, 2017
- Organization subpart
- Yes
- Parent organization (as reported)
- AUTUMN CORPORATION
Authorized official
- Name
- William I Weisberg
- Title
- President
- Phone
- (216) 292-5706
Owners & managing parties with NPI records 20
Corporate family (same tax ID) 1
Member of 1
Facilities with the same owner 122
Affiliated clinicians 1
Medicare Care Compare: Nursing home
- Listed as
- Autumn Care Of Biscoe
- Overall star rating
- ★★★★☆ 4 of 5
- Health inspections
- ★★★★☆ 4 of 5
- Staffing
- ★★★☆☆ 3 of 5
- Quality measures
- ★★★★☆ 4 of 5
- Type
- Medicare and Medicaid
- Ownership
- For profit - Corporation
- Certified
- Jan 1, 1980
- Medicare certification status
- Active
- Certified beds
- 141 · 100.1 residents per day on average
- Chain
- Saber Healthcare Group
- Penalties (3 years)
- 1 · fines totaling $15,350
Medicare participation
- Medicare fee-for-service enrollment
- Enrolled in NC
Skilled nursing facility certification: CCN 345000
- Legal name
- AUTUMN CARE OF BISCOE LLC
- Doing business as
- AUTUMN CARE OF BISCOE
- Certification status
- Active
- Provider type (POS)
- Nursing home – SNF/NF distinct part
- Participating since
- Jan 1, 1980
- Last certification
- Mar 13, 2025
- Beds
- 151 (141 certified)
- Ownership / control type
- Limited Liability Corporation
- Multi-facility organization
- Saber Healthcare
- Most recent change of ownership
- Apr 1, 2017
- Organization structure
- LLC · Proprietary
- Incorporated
- Jan 11, 2017 in NC
- Enrollment address
- 401 Lambert Rd
Biscoe, NC 27209-9002 - Nursing home name
- AUTUMN CARE OF BISCOE
- Affiliated entity
- SABER HEALTHCARE GROUP
All disclosed owners & managing parties 22
| Name | Role | Since | Share |
|---|---|---|---|
| Saber Healthcare Holdings LLC |
5% Or Greater Indirect Ownership Interest | Apr 1, 2017 | 100% |
| WWBV Holdings LLC |
5% Or Greater Indirect Ownership Interest | Sep 30, 2019 | 100% |
| 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 | |
| Saber Healthcare Group LLC |
Adp of the SNF | Apr 1, 2017 | |
| 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 | ||
| Ohl Asset (NC) Biscoe, LP |
5% Or Greater Mortgage Interest | Mar 1, 2016 | 100% |
| Adp of the SNF | Mar 1, 2016 | ||
| SHG Autumn, LLC |
5% Or Greater Indirect Ownership Interest | Apr 1, 2017 | 100% |
| Adp of the SNF | May 6, 2026 | ||
| Citrin Cooperman Advisors LLC |
Adp of the SNF | Apr 1, 2017 | |
| Wiw Dynasty LLC |
5% Or Greater Indirect Ownership Interest | Jan 1, 2023 | 67% |
| Christina Billings |
Operational/Managerial Control | Sep 16, 2019 | |
| Adp of the SNF | Sep 16, 2019 | ||
| William I Weisberg |
Corporate Officer |
Mar 1, 2019 | |
| Corporate Director |
Mar 1, 2019 | 50% | |
| Walker & Associates PC |
Adp of the SNF | Dec 18, 2023 | |
| Christina Dolack |
Adp of the SNF | Jan 22, 2025 | |
| Cibc Bank USA |
Adp of the SNF | Mar 31, 2021 | |
| Autumn Corporation |
5% Or Greater Direct Ownership Interest | Apr 1, 2017 | 100% |
| Adp of the SNF | May 6, 2026 | ||
| Melissa Thompson Sullivan |
Operational/Managerial Control | Dec 17, 2023 | |
| Adp of the SNF | Dec 17, 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 | May 6, 2026 |
Medicare enrollment records
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| O20170329002174 | NC | Part a Provider - Skilled Nursing Facility | 8921383233 | Practice locations: Biscoe, NC |
National Provider Directory
- Tax ID family
- Autumn Care of Biscoe
- Part of
- Autumn Corporation
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Adult Care Home Facility | 311ZA0620X | |||
| Skilled Nursing Facility | 314000000X | Yes |
Addresses
Primary practice location
401 Lambert Rd
Biscoe, NC 27209-9002
Mailing address
23700 Commerce Park
Beachwood, OH 44122-5827
Phone (216) 292-5706
Other names
- Autumn Care of Biscoe
Other providers in Biscoe, NC
- Academy Eye Center Optometry, PA
- Lucarys Albares
- Breon Allen
- Jolena B Allred
- Alexis R Anthony
- Autumn Corporation
- Autumn Corporation
- Biscoe Pharmacy, Inc.
- Aimee Jean Blake
- Stuart Briggs
All providers in Biscoe, NC · Skilled Nursing Facility in North Carolina
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Dec 19, 2022. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- Medicare Fee-For-Service Public Provider Enrollment (CMS/PECOS): enrollments, PAC IDs and benefit reassignments.
- CMS facility enrollments, All Owners and change-of-ownership files: CCNs, owners and managing parties.
- Provider of Services files (CMS): certification status, beds and related CCNs.
- Medicare Care Compare provider data (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.