NPIMap

Organization Active NPI

Autumn Corporation

  • Skilled Nursing Facility
  • Galax, VA
National Provider Identifier
1366428922
Registry record updated Jan 14, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Skilled Nursing FacilityTaxonomy code 314000000X
License
NH2713 Issued in VA
Legal business name
AUTUMN CORPORATION
Practice address
202 Painter St
Galax, VA 24333-3830
Phone
(276) 236-5164
Fax
(276) 236-0699
NPI assigned
Dec 15, 2005
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jan 14, 2022

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

Authorized official

Name
William I. Weisberg
Title
President
Phone
(216) 292-5706

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Skilled Nursing Facility 314000000X NH2713 VA Primary

Addresses

Primary practice location

202 Painter St
Galax, VA 24333-3830

Mailing address

23700 Commerce Park
Beachwood, OH 44122-5827
Phone (216) 292-5706

Other identifiers 1

IdentifierTypeStateIssuer
4951263MedicaidVA

Other names 2

  • Waddell Nursing & Rehab Center Doing business as
  • Waddell Nursing and Rehab Center Doing business as

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in VA

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20120223000296 VA Part A Provider - Skilled Nursing Facility 9133117351 Practice locations: Galax, VA

Skilled nursing facility certification: CCN 495126

Legal name
AUTUMN CORPORATION
Doing business as
WADDELL NURSING AND REHAB CENTER
Certification status
Active
Provider type (POS)
Nursing home – SNF/NF dual certification
Participating since
Feb 26, 1982
Last certification
Apr 19, 2023
Beds
135
Ownership / control type
Limited Liability Corporation
Multi-facility organization
Saber Healthcare Group
Organization structure
CorporationProprietary
Incorporated
Feb 25, 1977 in NC
Enrollment address
202 Painter Street
Galax, VA 24333-3830
Nursing home name
WADDELL NURSING AND REHAB CENTER
Affiliated entity
SABER HEALTHCARE GROUP

Other NPIs with the same Medicare PAC ID 18

NPIs whose Medicare enrollments share a PECOS associate control ID (the same enrolled entity).

View all 18

Care Compare: Nursing home

Medicare Care Compare
Listed as
Waddell Nursing And Rehab CenterCCN 495126
Overall star rating
5 of 5
Health inspections
5 of 5
Staffing
3 of 5
Quality measures
2 of 5
Type
Medicare and Medicaid
Ownership
For profit - Limited Liability company
Certified
Feb 26, 1982
Medicare certification status
ActiveFrom the Provider of Services file
Certified beds
135120.5 residents per day on average
Chain
Saber Healthcare Group126 facilities in the chain

Processed by Care Compare on Aug 1, 2026.

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

Ownership & related parties

All disclosed owners & managing parties 20

As disclosed on the Medicare enrollment (CMS All Owners files). Individuals include officers, directors and managing employees, who may not hold ownership.

NameRoleSinceShare
Saber Healthcare Holdings LLC Organization, Beachwood, OH LLC, Holding company, Owned by another organization or individual 5% Or Greater Indirect Ownership Interest Mar 1, 2016 100%
Vanessa Sturgill Fant Individual Adp of the SNF May 31, 2017
Benjamin N. Volpe Family Dynasty Trust (Dated December 29, 2020) Organization, Beachwood, OH 5% Or Greater Indirect Ownership Interest Dec 31, 2020 22.22%
Gregory Nicoluzakis Individual Corporate OfficerSecretary Mar 1, 2019
Adp of the SNF Mar 1, 2019
SHG Management LLC Organization, Beachwood, OH Operational/Managerial Control Sep 1, 2019
Adp of the SNF Sep 1, 2019
Saber Governance LLC Organization, Beachwood, OH LLC Adp of the SNF Sep 1, 2019
Saber Healthcare Group LLC Organization, Beachwood, OH LLC, Chain home office Adp of the SNF Mar 1, 2026
BNV Dynasty LLC Organization, Beachwood, OH LLC 5% Or Greater Indirect Ownership Interest Dec 31, 2020 22.22%
Benjamin N Volpe Individual Corporate OfficerVice President & Treasurer Mar 1, 2019
Corporate DirectorVice President & Treasurer Mar 1, 2019 50%
Adp of the SNF Mar 1, 2019
SHG Autumn, LLC Organization, Beachwood, OH LLC 5% Or Greater Direct Ownership Interest Mar 1, 2016 100%
Adp of the SNF May 8, 2026
Citrin Cooperman Advisors LLC Organization, Woodmere, OH LLC Adp of the SNF Mar 1, 2016
Kenneth Adkins Individual Operational/Managerial Control May 30, 2023
Adp of the SNF May 30, 2023
Ohl Asset (VA) Galax LLC Organization, Hunt Valley, MD LLC, Real estate investment trust (REIT), Owned by another organization or individual 5% Or Greater Security Interest Mar 1, 2016
Adp of the SNF Mar 1, 2016
Wiw Dynasty LLC Organization, Beachwood, OH LLC, Owned by another organization or individual 5% Or Greater Indirect Ownership Interest Mar 1, 2019 77.78%
William I Weisberg Individual Corporate OfficerPresident Mar 1, 2019
Corporate DirectorPresident Mar 1, 2019 50%
Walker & Associates PC Organization, Roanoke, VA LLC Adp of the SNF Mar 1, 2026
Cibc Bank USA Organization, Chicago, IL Financial institution Adp of the SNF Mar 31, 2021
Decanted William I. Weisberg Family Dynasty Trust (Dated Sept 30, 2020 Organization, Beachwood, OH 5% Or Greater Indirect Ownership Interest Sep 30, 2020 77.78%
Virginia Edwards Individual Operational/Managerial Control Feb 26, 2024
Adp of the SNF Feb 26, 2024
SHG Mt, LLC Organization, Beachwood, OH LLC Adp of the SNF May 8, 2026

Owners & managing parties with NPI records 1

Owners and managing parties disclosed on this facility’s Medicare enrollment that are themselves Medicare-enrolled.

All facility ownership & control disclosures 7

Facilities whose Medicare enrollment lists this provider’s PECOS associate ID as an owner or managing party.

FacilityTypeRoleSince
Autumn Care of BiscoeBiscoe, NC, CCN 345000 Skilled nursing facility 5% Or Greater Direct Ownership Interest (100%)
Adp of the SNF		 Apr 1, 2017
May 6, 2026
Village Care of KingKing, NC, CCN 345381 Skilled nursing facility 5% Or Greater Direct Ownership Interest (100%) Apr 1, 2017
Autumn Care of FayettevilleFayetteville, NC, CCN 345553 Skilled nursing facility 5% Or Greater Direct Ownership Interest (100%) Apr 1, 2017
Brunswick Health & Rehab CenterCalabash, NC, CCN 345575 Skilled nursing facility 5% Or Greater Direct Ownership Interest (100%) Dec 1, 2017
Davie Nursing and Rehabilitation CenterMocksville, NC, CCN 345129 Skilled nursing facility Direct Ownership Interest (100%) Feb 19, 2019
Autumn Care of StatesvilleStatesville, NC, CCN 345511 Skilled nursing facility 5% Or Greater Direct Ownership Interest (100%) Dec 31, 2019
Autumn Care of AltavistaAltavista, VA, CCN 495196 Skilled nursing facility 5% Or Greater Direct Ownership Interest (100%) Feb 1, 2020

Owned or controlled facilities with NPI records 7

Facilities whose Medicare enrollment lists this provider as an owner, officer, director or managing party.

Facilities with the same owner 122

Facilities that share an organizational owner with 5% or greater ownership or operational control.

  • Autumn Care of Altavista, LLC
    • Skilled Nursing Facility
    • Altavista, VA
    • NPI 1316582133

    Benjamin N. Volpe Family Dynasty Trust (Dated December 29, 2020), BNV Dynasty LLC, Decanted William I. Weisberg Family Dynasty Trust (Dated Sept 30, 2020, Saber Healthcare Holdings LLC, SHG Autumn, LLC, SHG Management LLC, Wiw Dynasty LLC

    CMS ownership
  • Autumn Corporation
    • Skilled Nursing Facility
    • Fishersville, VA
    • NPI 1003892662

    Benjamin N. Volpe Family Dynasty Trust (Dated December 29, 2020), BNV Dynasty LLC, Decanted William I. Weisberg Family Dynasty Trust (Dated Sept 30, 2020, Saber Healthcare Holdings LLC, SHG Autumn, LLC, Wiw Dynasty LLC

    CMS ownership
  • Autumn Corporation
    • Skilled Nursing Facility
    • Suffolk, VA
    • NPI 1154307890

    Benjamin N. Volpe Family Dynasty Trust (Dated December 29, 2020), BNV Dynasty LLC, Decanted William I. Weisberg Family Dynasty Trust (Dated Sept 30, 2020, Saber Healthcare Holdings LLC, SHG Autumn, LLC, SHG Management LLC, Wiw Dynasty LLC

    CMS ownership
  • Autumn Corporation
    • Skilled Nursing Facility
    • Madison, VA
    • NPI 1194701888

    Benjamin N. Volpe Family Dynasty Trust (Dated December 29, 2020), BNV Dynasty LLC, Decanted William I. Weisberg Family Dynasty Trust (Dated Sept 30, 2020, Saber Healthcare Holdings LLC, SHG Autumn, LLC, SHG Management LLC, Wiw Dynasty LLC

    CMS ownership
  • Autumn Corporation
    • Skilled Nursing Facility
    • Mechanicsville, VA
    • NPI 1366789075

    Benjamin N. Volpe Family Dynasty Trust (Dated December 29, 2020), BNV Dynasty LLC, Decanted William I. Weisberg Family Dynasty Trust (Dated Sept 30, 2020, Saber Healthcare Holdings LLC, SHG Autumn, LLC, SHG Management LLC, Wiw Dynasty LLC

    CMS ownership
  • Autumn Corporation
    • Skilled Nursing Facility
    • Norfolk, VA
    • NPI 1376529925

    Benjamin N. Volpe Family Dynasty Trust (Dated December 29, 2020), BNV Dynasty LLC, Decanted William I. Weisberg Family Dynasty Trust (Dated Sept 30, 2020, Saber Healthcare Holdings LLC, SHG Autumn, LLC, SHG Management LLC, Wiw Dynasty LLC

    CMS ownership
  • Autumn Corporation
    • Skilled Nursing Facility
    • Portsmouth, VA
    • NPI 1710963459

    Benjamin N. Volpe Family Dynasty Trust (Dated December 29, 2020), BNV Dynasty LLC, Decanted William I. Weisberg Family Dynasty Trust (Dated Sept 30, 2020, Saber Healthcare Holdings LLC, SHG Autumn, LLC, Wiw Dynasty LLC

    CMS ownership
  • Autumn Corporation
    • Skilled Nursing Facility
    • Chesapeake, VA
    • NPI 1770569410

    Benjamin N. Volpe Family Dynasty Trust (Dated December 29, 2020), BNV Dynasty LLC, Decanted William I. Weisberg Family Dynasty Trust (Dated Sept 30, 2020, Saber Healthcare Holdings LLC, SHG Autumn, LLC, SHG Management LLC, Wiw Dynasty LLC

    CMS ownership
  • Chatham Health and Rehabilitation Center, LLC
    • Skilled Nursing Facility
    • Chatham, VA
    • NPI 1982831582

    Benjamin N. Volpe Family Dynasty Trust (Dated December 29, 2020), BNV Dynasty LLC, Decanted William I. Weisberg Family Dynasty Trust (Dated Sept 30, 2020, Saber Healthcare Holdings LLC, Wiw Dynasty LLC

    CMS ownership
  • Chesterfield Healthcare Group, Inc.
    • Skilled Nursing Facility
    • Chester, VA
    • NPI 1376774745

    Benjamin N. Volpe Family Dynasty Trust (Dated December 29, 2020), BNV Dynasty LLC, Decanted William I. Weisberg Family Dynasty Trust (Dated Sept 30, 2020, Saber Healthcare Holdings LLC, SHG Management LLC, Wiw Dynasty LLC

    CMS ownership
  • Clarksville Health & Rehab Center, LLC
    • Skilled Nursing Facility
    • Clarksville, VA
    • NPI 1134738248

    Benjamin N. Volpe Family Dynasty Trust (Dated December 29, 2020), BNV Dynasty LLC, Decanted William I. Weisberg Family Dynasty Trust (Dated Sept 30, 2020, Saber Healthcare Holdings LLC, Wiw Dynasty LLC

    CMS ownership
  • Colonial Health & Rehab Center, LLC
    • Skilled Nursing Facility
    • Virginia Beach, VA
    • NPI 1720697840

    SHG Management LLC

    CMS ownership
View all 122

Practitioners & affiliated clinicians

Affiliated clinicians 3

Clinicians who list this facility as an affiliation in Medicare Care Compare.

NPI Registry JSON

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

{
    "created_epoch": "1134604800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1642118400000",
    "number": "1366428922",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "23700 COMMERCE PARK",
            "city": "BEACHWOOD",
            "state": "OH",
            "postal_code": "441225827",
            "telephone_number": "216-292-5706"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "202 PAINTER ST",
            "city": "GALAX",
            "state": "VA",
            "postal_code": "243333830",
            "telephone_number": "276-236-5164",
            "fax_number": "276-236-0699"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "AUTUMN CORPORATION",
        "organizational_subpart": "NO",
        "enumeration_date": "2005-12-15",
        "last_updated": "2022-01-14",
        "certification_date": "2022-01-14",
        "status": "A",
        "authorized_official_last_name": "WEISBERG",
        "authorized_official_first_name": "WILLIAM",
        "authorized_official_middle_name": "I.",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "216-292-5706"
    },
    "taxonomies": [
        {
            "code": "314000000X",
            "taxonomy_group": "",
            "desc": "Skilled Nursing Facility",
            "state": "VA",
            "license": "NH2713",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "4951263",
            "state": "VA"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Waddell Nursing & Rehab Center",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "Waddell Nursing & Rehab Center",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "Waddell Nursing and Rehab Center",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Galax, VA

Sources for this page

Verify at the official NPI Registry.