NPIMap

Organization Active NPI

Autumn Corporation

Doing business as Autumn Care of Cornelius

  • Skilled Nursing Facility
  • Cornelius, NC
National Provider Identifier
1376932889
Registry record updated Dec 15, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Skilled Nursing FacilityTaxonomy code 314000000X
License
NH0643 Issued in NC
Legal business name
AUTUMN CORPORATION
Doing business as
Autumn Care of Cornelius
Practice address
19530 Mt. Zion Pkwy
Cornelius, NC 28031
Phone
(704) 997-2970
Fax
(704) 997-2971
NPI assigned
Jan 21, 2015
Last updated
Dec 15, 2021By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Dec 15, 2021

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 NH0643 NC Primary

Addresses

Primary practice location

19530 Mt. Zion Pkwy
Cornelius, NC 28031

Mailing address

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

Other names 1

  • Autumn Care of Cornelius Doing business as

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20150212002148 NC Part A Provider - Skilled Nursing Facility 9133117351 Practice locations: Cornelius, NC

NPI to CCN mapping 1

The Medicare certification numbers (CCNs) connected to NPI 1376932889. Details of each certification follow.

Skilled nursing facility certification: CCN 345567

Legal name
AUTUMN CORPORATION
Doing business as
AUTUMN CARE OF CORNELIUS
Certification status
Active
Provider type (POS)
Nursing home – SNF/NF dual certification
Participating since
Mar 9, 2015
Last certification
May 2, 2024
Beds
102
Ownership / control type
Corporation
Multi-facility organization
Saber Health Care Group
Organization structure
CorporationProprietary
Incorporated
Feb 25, 1977 in NC
Enrollment address
19530 Mt Zion Pkwy
Cornelius, NC 28031-8398
Nursing home name
AUTUMN CARE OF CORNELIUS
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
Autumn Care of CorneliusCCN 345567 · All quality measures
Overall star rating
2 of 5
Health inspections
2 of 5
Staffing
3 of 5
Quality measures
4 of 5
Type
Medicare and Medicaid
Ownership
For profit - Corporation
Certified
Mar 9, 2015
Medicare certification status
ActiveFrom the Provider of Services file
Certified beds
10295.3 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 16

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, For-profit 5% Or Greater Indirect Ownership Interest Mar 1, 2016 100%
Benjamin N. Volpe Family Dynasty Trust (Dated December 29, 2020) Organization, Beachwood, OH 5% Or Greater Indirect Ownership Interest Jan 1, 2023 33%
Ohi Asset NC Cornelius LP Organization, Hunt Valley, MD Real estate investment trust (REIT) 5% Or Greater Security Interest Mar 1, 2016
Gregory Nicoluzakis Individual Corporate OfficerSecretary Mar 1, 2019
Adp of the SNF Mar 1, 2019
Darin Hopping Individual Operational/Managerial ControlRegional VP of Operations Jun 21, 2021
SHG Management LLC Organization, Beachwood, OH LLC Operational/Managerial Control Sep 1, 2019
Adp of the SNF Sep 1, 2019
Saber Governance LLC Organization, Beachwood, OH LLC, For-profit Operational/Managerial Control Sep 1, 2019 100%
BNV Dynasty LLC Organization, Beachwood, OH LLC, For-profit 5% Or Greater Indirect Ownership Interest Jan 1, 2023 33%
Benjamin N Volpe Individual Corporate OfficerVice President and Treasurer Mar 1, 2019
Corporate DirectorVice President and Treasurer Mar 1, 2019 50%
SHG Autumn, LLC Organization, Beachwood, OH LLC, Holding company, For-profit 5% Or Greater Direct Ownership Interest Mar 1, 2016 100%
Citrin Cooperman Advisors LLC Organization, Woodmere, OH LLC Adp of the SNF Mar 1, 2016
Wiw Dynasty LLC Organization, Beachwood, OH LLC 5% Or Greater Indirect Ownership Interest Jan 1, 2023 67%
William I Weisberg Individual Corporate OfficerPresident Mar 1, 2019
Corporate DirectorPresident Mar 1, 2019 50%
Adp of the SNF Mar 1, 2016
Walker & Associates PC Organization, Roanoke, VA Corporation Adp of the SNF Dec 18, 2023
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 Jan 1, 2023 67%

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 Biscoe, LLC

    dba Autumn Care of Biscoe

    • Skilled Nursing Facility
    • Biscoe, NC
    • NPI 1255878245

    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 Care of Fayetteville, LLC
    • Skilled Nursing Facility
    • Fayetteville, NC
    • NPI 1114463932

    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 Care of Statesville, LLC

    dba Autumn Care of Statesville

    • Skilled Nursing Facility
    • Statesville, NC
    • NPI 1730722240

    Benjamin N. Volpe Family Dynasty Trust (Dated December 29, 2020), BNV Dynasty LLC, Saber Governance LLC, Saber Healthcare Holdings LLC, SHG Autumn, LLC, Wiw Dynasty LLC

    CMS ownership
  • Autumn Corporation

    dba Autumn Care of Nash

    • Skilled Nursing Facility
    • Nashville, NC
    • NPI 1053396788

    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

    dba Autumn Care of Myrtle Grove

    • Skilled Nursing Facility
    • Wilmington, NC
    • NPI 1073599635

    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 Governance LLC, Saber Healthcare Holdings LLC, SHG Autumn, LLC, Wiw Dynasty LLC

    CMS ownership
  • Autumn Corporation

    dba Autumn Care of Marshville

    • Skilled Nursing Facility
    • Marshville, NC
    • NPI 1093791337

    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 Governance LLC, Saber Healthcare Holdings LLC, SHG Autumn, LLC, Wiw Dynasty LLC

    CMS ownership
  • Autumn Corporation

    dba Autumn Care of Drexel

    • Skilled Nursing Facility
    • Morganton, NC
    • NPI 1275519506

    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 Governance LLC, Saber Healthcare Holdings LLC, SHG Autumn, LLC, Wiw Dynasty LLC

    CMS ownership
  • Autumn Corporation

    dba Autumn Care of Shallotte

    • Skilled Nursing Facility
    • Shallotte, NC
    • NPI 1346226040

    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 Governance LLC, Saber Healthcare Holdings LLC, SHG Autumn, LLC, Wiw Dynasty LLC

    CMS ownership
  • Autumn Corporation

    dba Autumn Care of Salisbury

    • Skilled Nursing Facility
    • Salisbury, NC
    • NPI 1508842295

    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

    dba Autumn Care of Waynesville

    • Skilled Nursing Facility
    • Waynesville, NC
    • NPI 1528044294

    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

    dba Autumn Care of Marion

    • Skilled Nursing Facility
    • Marion, NC
    • NPI 1609852375

    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

    dba Autumn Care of Saluda

    • Skilled Nursing Facility
    • Saluda, NC
    • NPI 1639155302

    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 Governance LLC, Saber Healthcare Holdings LLC, SHG Autumn, LLC, Wiw Dynasty LLC

    CMS ownership
View all 122

Practitioners & affiliated clinicians

Affiliated clinicians 1

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": "1421798400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1639526400000",
    "number": "1376932889",
    "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": "19530 MT. ZION PKWY",
            "city": "CORNELIUS",
            "state": "NC",
            "postal_code": "28031",
            "telephone_number": "704-997-2970",
            "fax_number": "704-997-2971"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "AUTUMN CORPORATION",
        "organizational_subpart": "NO",
        "enumeration_date": "2015-01-21",
        "last_updated": "2021-12-15",
        "certification_date": "2021-12-15",
        "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": "NC",
            "license": "NH0643",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Autumn Care of Cornelius",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "Autumn Care of Cornelius",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Cornelius, NC

Sources for this page

Verify at the official NPI Registry.