Organization Active NPI

Autumn'S Way Care Home

  • Adult Care Home Facility
  • Durham, NC
National Provider Identifier
1346645868
Registry record updated Oct 27, 2014
On this page

Key facts

NPPES NPI Registry
Primary specialty
Adult Care Home FacilityTaxonomy code 311ZA0620X
License
FCL-032-136 Issued in NC
Legal business name
AUTUMN'S WAY CARE HOME
Practice address
4811 Bay Point Dr
Durham, NC 27713-9413
Phone
(919) 293-1177
NPI assigned
Oct 27, 2014
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Oct 27, 2014

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

Authorized official

Name
Ms. Jennifer Blair Albright, MPH
Title
Administrator
Phone
(919) 402-0442

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Adult Care Home Facility 311ZA0620X FCL-032-136 NC Primary

Addresses

Primary practice location

4811 Bay Point Dr
Durham, NC 27713-9413

Mailing address

1601 James St
Durham, NC 27707-1515
Phone (919) 402-0442

National Provider Directory

National Provider Directory

NPI Registry JSON

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

{
    "created_epoch": "1414368000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1414368000000",
    "number": "1346645868",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1601 JAMES ST",
            "city": "DURHAM",
            "state": "NC",
            "postal_code": "277071515",
            "telephone_number": "919-402-0442",
            "fax_number": "919-323-3585"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4811 BAY POINT DR",
            "city": "DURHAM",
            "state": "NC",
            "postal_code": "277139413",
            "telephone_number": "919-293-1177"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "AUTUMN'S WAY CARE HOME",
        "organizational_subpart": "NO",
        "enumeration_date": "2014-10-27",
        "last_updated": "2014-10-27",
        "status": "A",
        "authorized_official_last_name": "ALBRIGHT",
        "authorized_official_first_name": "JENNIFER",
        "authorized_official_middle_name": "BLAIR",
        "authorized_official_title_or_position": "ADMINISTRATOR",
        "authorized_official_telephone_number": "919-402-0442",
        "authorized_official_name_prefix": "Ms.",
        "authorized_official_credential": "MPH"
    },
    "taxonomies": [
        {
            "code": "311ZA0620X",
            "taxonomy_group": "",
            "desc": "Custodial Care Facility, Adult Care Home",
            "state": "NC",
            "license": "FCL-032-136",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Durham, NC

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 27, 2014; 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.