Autumn Corporation

Primary specialty

Skilled Nursing FacilityTaxonomy code 314000000X

License

NH0507 Issued in NC

Legal business name

AUTUMN CORPORATION

Practice address

440 Ingram Road Ext.
King, NC 27021

Phone

(336) 983-4900

Fax

(336) 983-4710

NPI assigned

Dec 20, 2005

Organization subpart

No

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

Authorized official

Name

Mr. Sam M. Marsh, CPA

Title

Vice President/Cfo

Phone

(252) 443-6265

Specialties & licenses 1

Addresses

Other identifiers 1

Other names 1

• Village Care of King Doing business as

Tax ID family

Autumn Corporation2 organizations share this tax ID, including this one

Other organizations with this tax ID 1

Organizations that report the same tax identification number in the National Provider Directory.

• Village Care of King, LLC

  • Skilled Nursing Facility
  • King, NC
  • NPI 1629515499
  NPD tax ID

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

{
    "created_epoch": "1135036800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1209686400000",
    "number": "1417933615",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 7728",
            "city": "ROCKY MOUNT",
            "state": "NC",
            "postal_code": "278040728",
            "telephone_number": "252-443-6265",
            "fax_number": "252-443-2703"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "440 INGRAM ROAD EXT.",
            "city": "KING",
            "state": "NC",
            "postal_code": "27021",
            "telephone_number": "336-983-4900",
            "fax_number": "336-983-4710"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "AUTUMN CORPORATION",
        "organizational_subpart": "NO",
        "enumeration_date": "2005-12-20",
        "last_updated": "2008-05-02",
        "status": "A",
        "authorized_official_last_name": "MARSH",
        "authorized_official_first_name": "SAM",
        "authorized_official_middle_name": "M.",
        "authorized_official_title_or_position": "VICE PRESIDENT/CFO",
        "authorized_official_telephone_number": "252-443-6265",
        "authorized_official_name_prefix": "Mr.",
        "authorized_official_credential": "CPA"
    },
    "taxonomies": [
        {
            "code": "314000000X",
            "taxonomy_group": "",
            "desc": "Skilled Nursing Facility",
            "state": "NC",
            "license": "NH0507",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "3405381",
            "state": "NC"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Village Care of King",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Ab&M Therapy Services
• Mikayla Aiko Abee Thomas
• Jonathan K Adams, LPCA
• Kathleen Marie Anderson, PT
• Austin L. Temple, III, DDS, PA
• Autumn Corporation
• Khaishoon N. Basrai, MD
• Bassiri & Associates, PA
• Sassan Bassiri, DDS
• Carl Edward Bell Jr., DDS

• Skilled Nursing Facility in King, NC
• Providers in King, NC by specialty
• Skilled Nursing Facility in North Carolina

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 2, 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.