Autumn Corporation
Organization Active NPI Skilled Nursing Facility · Norfolk, VA
NPI 1376529925 · NPPES record last updated Jan 10, 2022
Key facts
- NPI
- 1376529925
- Entity type
- Organization (NPI type 2)
- Primary specialty
- Skilled Nursing Facility 314000000X
- License
- NH2486 (VA)
- Legal business name
- AUTUMN CORPORATION
- Practice address
- 1401 Halstead Ave
Norfolk, VA 23502-2003 - Phone
- (757) 857-0481
- Fax
- (757) 857-0615
- NPI assigned
- Dec 15, 2005
- Organization subpart
- Yes
- Parent organization (as reported)
- SABER HEALTHCARE HOLDINGS, LLC
Authorized official
- Name
- William I. Weisberg
- Title
- President
- Phone
- (216) 292-5706
Owners & managing parties with NPI records 1
-
Nabil Tadros, MD
Owned or controlled facilities with NPI records 7
Other NPIs with the same Medicare PAC ID 18
Corporate family (same tax ID) 38
Facilities with the same owner 122
Medicare Care Compare: Nursing home
- Listed as
- Autumn Care of Norfolk
- Overall star rating
- ★★★★☆ 4 of 5
- Health inspections
- ★★★☆☆ 3 of 5
- Staffing
- ★★☆☆☆ 2 of 5
- Quality measures
- ★★★★★ 5 of 5
- Type
- Medicare and Medicaid
- Ownership
- For profit - Individual
- Certified
- Aug 23, 1991
- Medicare certification status
- Active
- Certified beds
- 120 · 114.8 residents per day on average
- Chain
- Saber Healthcare Group
Laboratory certificates & supplier records
CLIA laboratory certificates
| CLIA number | Laboratory | Certificate | Expires |
|---|---|---|---|
| 49D0228425 | Autumn Care of Norfolk | Certificate of waiver | Aug 31, 2026 |
Medicare participation
- Medicare fee-for-service enrollment
- Enrolled in VA
Skilled nursing facility certification: CCN 495253
- Legal name
- AUTUMN CORPORATION
- Doing business as
- AUTUMN CARE OF NORFOLK
- Certification status
- Active
- Provider type (POS)
- Nursing home – SNF/NF dual certification
- Participating since
- Aug 23, 1991
- Last certification
- Jan 13, 2023
- Beds
- 120
- Ownership / control type
- Individual
- Multi-facility organization
- Saber Health Group
- Organization structure
- Corporation · Proprietary
- Enrollment address
- 1401 Halstead Avenue
Norfolk, VA 23502 - Nursing home name
- AUTUMN CARE OF NORFOLK
- Affiliated entity
- SABER HEALTHCARE GROUP
All disclosed owners & managing parties 20
| Name | Role | Since | Share |
|---|---|---|---|
| Ohi Asset (VA) Norfolk, LLC |
5% Or Greater Security Interest | Mar 1, 2016 | 100% |
| Adp of the SNF | Mar 1, 2016 | ||
| Saber Healthcare Holdings LLC |
5% Or Greater Indirect Ownership Interest | Mar 1, 2016 | 100% |
| Ashley Jackson |
Operational/Managerial Control | Jun 28, 2022 | |
| Adp of the SNF | Jun 28, 2022 | ||
| 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 | ||
| Ashlei Pease |
Operational/Managerial Control | Jun 7, 2022 | |
| Adp of the SNF | Jun 7, 2022 | ||
| Saber Governance LLC |
Adp of the SNF | Sep 1, 2019 | |
| Saber Healthcare Group LLC |
Adp of the SNF | Mar 1, 2016 | |
| 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 | ||
| SHG Autumn, LLC |
5% Or Greater Direct Ownership Interest | Mar 1, 2016 | 100% |
| Adp of the SNF | Nov 3, 2025 | ||
| Citrin Cooperman Advisors LLC |
Adp of the SNF | Mar 1, 2016 | |
| Wiw Dynasty LLC |
5% Or Greater Indirect Ownership Interest | Jan 1, 2023 | 67% |
| William I Weisberg |
Corporate Officer |
Mar 1, 2019 | |
| Corporate Director |
Mar 1, 2019 | 50% | |
| Adp of the SNF | Mar 1, 2016 | ||
| Walker & Associates PC |
Adp of the SNF | Mar 1, 2016 | |
| Cibc Bank USA |
Adp of the SNF | Mar 31, 2021 | |
| Nabil T. M. Tadros |
Adp of the SNF | Jan 1, 2008 | |
| 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 | Nov 3, 2025 |
All facility ownership & control disclosures 7
| Facility | Type | Role | Since |
|---|---|---|---|
| Autumn Care of Biscoe |
Skilled nursing facility | 5% Or Greater Direct Ownership Interest (100%) Adp of the SNF |
Apr 1, 2017 May 6, 2026 |
| Village Care of King |
Skilled nursing facility | 5% Or Greater Direct Ownership Interest (100%) | Apr 1, 2017 |
| Autumn Care of Fayetteville |
Skilled nursing facility | 5% Or Greater Direct Ownership Interest (100%) | Apr 1, 2017 |
| Brunswick Health & Rehab Center |
Skilled nursing facility | 5% Or Greater Direct Ownership Interest (100%) | Dec 1, 2017 |
| Davie Nursing and Rehabilitation Center |
Skilled nursing facility | Direct Ownership Interest (100%) | Feb 19, 2019 |
| Autumn Care of Statesville |
Skilled nursing facility | 5% Or Greater Direct Ownership Interest (100%) | Dec 31, 2019 |
| Autumn Care of Altavista |
Skilled nursing facility | 5% Or Greater Direct Ownership Interest (100%) | Feb 1, 2020 |
Medicare enrollment records
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| O20120221000766 | VA | Part a Provider - Skilled Nursing Facility | 9133117351 | Practice locations: Norfolk, VA |
National Provider Directory
- Tax ID family
- Autumn Corporation
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Skilled Nursing Facility | 314000000X | NH2486 | VA | Yes |
Addresses
Primary practice location
1401 Halstead Ave
Norfolk, VA 23502-2003
Mailing address
23700 Commerce Park
Beachwood, OH 44122-5827
Phone (216) 292-5706
Other identifiers
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 4952537 | Medicaid | VA |
Other names
- Autumn Care of Norfolk
Other providers in Norfolk, VA
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- William E Austin
- Krisane Miller Auth
- Autism Spectrum Therapy LLC
- Autumn Shores Consulting & Family Services, LLC
- Dace Auzins
- Avatar Holdings Inc.
- Avenues Recovery Center at Norfolk LLC
- Avenues Recovery Center at Norfolk LLC
All providers in Norfolk, VA · Skilled Nursing Facility in Virginia
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Jan 10, 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.