NPIMap

Organization Active NPI

Autumn Corporation

  • Nursing Facility/Intermediate Care Facility
  • Marion, NC
National Provider Identifier
1356512602
Registry record updated Mar 14, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
Nursing Facility/Intermediate Care FacilityTaxonomy code 313M00000X
License
NH0346 Issued in NC
Legal business name
AUTUMN CORPORATION
Practice address
1264 Airport Rd
Marion, NC 28752-3190
Phone
(828) 652-6701
Fax
(828) 652-1412
NPI assigned
Mar 14, 2008
Organization subpart
No

Authorized official

NPPES NPI Registry
Name
Mr. Sam M. Marsh, CPA
Title
Vice President of Operations
Phone
(252) 443-6265

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

Specialties & licenses 1

NPPES NPI Registry
Specialty (taxonomy)CodeLicenseStatePrimary
Nursing Facility/Intermediate Care Facility 313M00000X NH0346 NC Primary

Addresses

NPPES NPI Registry

Primary practice location

1264 Airport Rd
Marion, NC 28752-3190

Mailing address

1264 Airport Rd
Marion, NC 28752-3190
Phone (828) 652-6701

Other identifiers 1

NPPES NPI Registry
IdentifierTypeStateIssuer
3406275MedicaidNC

Other names 1

NPPES NPI Registry
  • Autumn Care of Marion Doing business as

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format, last updated by the provider on Mar 14, 2008.

{
    "created_epoch": "1205452800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1205452800000",
    "number": "1356512602",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1264 AIRPORT RD",
            "city": "MARION",
            "state": "NC",
            "postal_code": "287523190",
            "telephone_number": "828-652-6701",
            "fax_number": "828-652-1412"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1264 AIRPORT RD",
            "city": "MARION",
            "state": "NC",
            "postal_code": "287523190",
            "telephone_number": "828-652-6701",
            "fax_number": "828-652-1412"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "AUTUMN CORPORATION",
        "organizational_subpart": "NO",
        "enumeration_date": "2008-03-14",
        "last_updated": "2008-03-14",
        "status": "A",
        "authorized_official_last_name": "MARSH",
        "authorized_official_first_name": "SAM",
        "authorized_official_middle_name": "M.",
        "authorized_official_title_or_position": "VICE PRESIDENT OF OPERATIONS",
        "authorized_official_telephone_number": "252-443-6265",
        "authorized_official_name_prefix": "Mr.",
        "authorized_official_credential": "CPA"
    },
    "taxonomies": [
        {
            "code": "313M00000X",
            "taxonomy_group": "",
            "desc": "Nursing Facility/Intermediate Care Facility",
            "state": "NC",
            "license": "NH0346",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "3406275",
            "state": "NC"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Autumn Care of Marion",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Marion, NC

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 14, 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.