Autumn Wind of Smithfield, Inc.

Primary specialty

Assisted Living FacilityTaxonomy code 310400000X

License

HAL-051-009 Issued in NC

Legal business name

AUTUMN WIND OF SMITHFIELD, INC.

Practice address

4302 NC Highway 210
Smithfield, NC 27577-7915

Phone

(919) 934-7050

Fax

(919) 934-3584

NPI assigned

Jun 30, 2007

Last updated

Aug 14, 2007By 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. Danette Stewart Rogers

Title

Administrator

Phone

(919) 934-7050

Specialties & licenses 1

Addresses

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

{
    "created_epoch": "1183161600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1187049600000",
    "number": "1285831354",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4302 NC HIGHWAY 210",
            "city": "SMITHFIELD",
            "state": "NC",
            "postal_code": "275777915",
            "telephone_number": "919-934-7050",
            "fax_number": "919-934-3584"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4302 NC HIGHWAY 210",
            "city": "SMITHFIELD",
            "state": "NC",
            "postal_code": "275777915",
            "telephone_number": "919-934-7050",
            "fax_number": "919-934-3584"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "AUTUMN WIND OF SMITHFIELD, INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-06-30",
        "last_updated": "2007-08-14",
        "status": "A",
        "authorized_official_last_name": "ROGERS",
        "authorized_official_first_name": "DANETTE",
        "authorized_official_middle_name": "STEWART",
        "authorized_official_title_or_position": "ADMINISTRATOR",
        "authorized_official_telephone_number": "919-934-7050",
        "authorized_official_name_prefix": "Mrs."
    },
    "taxonomies": [
        {
            "code": "310400000X",
            "taxonomy_group": "",
            "desc": "Assisted Living Facility",
            "state": "NC",
            "license": "HAL-051-009",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Efuetbejah Atemnkeng
• Romain Athus, M.D.
• Adam Aydin Atik
• Lisa Nora Atwa, NP
• Victoria Jeanne Aucoin, MD
• Alexander Thomas Averna, DC
• Allison Winstead Ayers, RN
• Rachel Blake Ayers
• Stephanie Ayers, MS
• Tyler Elizabeth Bachrodt, PA

• Assisted Living Facility in Smithfield, NC
• Providers in Smithfield, 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 Aug 14, 2007; 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.