Autumn Acres Personal Care Center

Primary specialty

Assisted Living FacilityTaxonomy code 310400000X

License

506067 Issued in WV

Legal business name

AUTUMN ACRES PERSONAL CARE CENTER

Practice address

400 Autumn Acres Rd
Berkeley Springs, WV 25411-3202

Phone

(304) 258-4330

Fax

(304) 258-0018

NPI assigned

Sep 15, 2005

Organization subpart

No

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

Authorized official

Name

Mrs. Connie Tomshack, CONSULTANT

Title

Administrator

Phone

(304) 258-4330

Specialties & licenses 1

Addresses

Other identifiers 1

Locations

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

{
    "created_epoch": "1126742400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1508851551",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "400 AUTUMN ACRES RD",
            "city": "BERKELEY SPRINGS",
            "state": "WV",
            "postal_code": "254113202",
            "telephone_number": "304-258-4330",
            "fax_number": "304-258-0018"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "400 AUTUMN ACRES RD",
            "city": "BERKELEY SPRINGS",
            "state": "WV",
            "postal_code": "254113202",
            "telephone_number": "304-258-4330",
            "fax_number": "304-258-0018"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "AUTUMN ACRES PERSONAL CARE CENTER",
        "organizational_subpart": "NO",
        "enumeration_date": "2005-09-15",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "TOMSHACK",
        "authorized_official_first_name": "CONNIE",
        "authorized_official_title_or_position": "ADMINISTRATOR",
        "authorized_official_telephone_number": "304-258-4330",
        "authorized_official_name_prefix": "Mrs.",
        "authorized_official_credential": "CONSULTANT"
    },
    "taxonomies": [
        {
            "code": "310400000X",
            "taxonomy_group": "",
            "desc": "Assisted Living Facility",
            "state": "WV",
            "license": "506067",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "30021441",
            "state": "WV"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Danielle N Ahern
• Joshua Paul Anderson
• Molly Arbogast
• Constance Archer
• Kristi Nicole Ashton, FNP-C
• Autumn Leasing Co., LLC
• Brenda L Bain
• Darlene Bane
• Alyssa Bartlett, PHARM.D
• Stacey A Beam

• Assisted Living Facility in Berkeley Springs, WV
• Providers in Berkeley Springs, WV by specialty
• Assisted Living Facility in West Virginia

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 22, 2020; 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.