Autumn Corporation
Organization Active NPI Skilled Nursing Facility · Waynesville, NC
NPI 1528044294 · NPPES record last updated Dec 19, 2022
Key facts
- NPI
- 1528044294
- Entity type
- Organization (NPI type 2)
- Primary specialty
- Skilled Nursing Facility 314000000X
- License
- NH0366 (NC)
- Legal business name
- AUTUMN CORPORATION
- Practice address
- 370 Old Balsam Rd
Waynesville, NC 28786-8097 - Phone
- (828) 456-7381
- Fax
- (828) 452-5930
- 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
-
Neal H Guffey Jr., M.D.
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
Affiliated clinicians 1
-
Neal H Guffey Jr., M.D.
Medicare Care Compare: Nursing home
- Listed as
- Autumn Care of Waynesville
- Overall star rating
- ★☆☆☆☆ 1 of 5
- Health inspections
- ★☆☆☆☆ 1 of 5
- Staffing
- ★☆☆☆☆ 1 of 5
- Quality measures
- ★★★☆☆ 3 of 5
- Type
- Medicare and Medicaid
- Ownership
- For profit - Corporation
- Certified
- Mar 6, 1974
- Medicare certification status
- Active
- Certified beds
- 90 · 83.3 residents per day on average
- Chain
- Saber Healthcare Group
- Penalties (3 years)
- 1 · fines totaling $107,387
Medicare participation
- Medicare fee-for-service enrollment
- Enrolled in NC
Skilled nursing facility certification: CCN 345110
- Legal name
- AUTUMN CORPORATION
- Doing business as
- AUTUMN CARE OF WAYNESVILLE
- Certification status
- Active
- Provider type (POS)
- Nursing home – SNF/NF dual certification
- Participating since
- Mar 6, 1974
- Last certification
- May 22, 2025
- Beds
- 100 (90 certified)
- Ownership / control type
- Corporation
- Multi-facility organization
- Saber Healthcare
- Organization structure
- Corporation · Proprietary
- Incorporated
- Feb 25, 1977 in NC
- Enrollment address
- 360 Old Balsam Rd
Waynesville, NC 28786-8097 - Nursing home name
- AUTUMN CARE OF WAYNESVILLE
- Affiliated entity
- SABER HEALTHCARE GROUP
All disclosed owners & managing parties 19
| Name | Role | Since | Share |
|---|---|---|---|
| Saber Healthcare Holdings LLC |
5% Or Greater Indirect Ownership Interest | Mar 1, 2019 | 100% |
| Alex Russell |
Operational/Managerial Control | Mar 31, 2025 | |
| Adp of the SNF | Mar 31, 2025 | ||
| 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 | ||
| Saber Governance LLC |
Adp of the SNF | Sep 1, 2019 | |
| 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 | Apr 30, 2026 | ||
| 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% | |
| Walker & Associates PC |
Adp of the SNF | Dec 18, 2023 | |
| Theodore Marcus |
Operational/Managerial Control | Sep 30, 2024 | |
| Adp of the SNF | Sep 30, 2024 | ||
| Ohl Asset (NC) Waynesvitte, LP |
5% Or Greater Mortgage Interest | Mar 1, 2016 | 100% |
| Adp of the SNF | Mar 1, 2016 | ||
| Cibc Bank USA |
Adp of the SNF | Mar 31, 2021 | |
| Neal H Guffey |
Adp of the SNF | Apr 12, 2025 | |
| 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 | Apr 30, 2026 |
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 |
|---|---|---|---|---|
| O20081022000553 | NC | Part a Provider - Skilled Nursing Facility | 9133117351 | Practice locations: Waynesville, NC |
National Provider Directory
- Tax ID family
- Autumn Corporation
Locations
370 Old Balsam Rd
Waynesville, NC 28786
Phone (828) 456-7381
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Adult Care Home Facility | 311ZA0620X | |||
| Skilled Nursing Facility | 314000000X | NH0366 | NC | Yes |
Addresses
Primary practice location
370 Old Balsam Rd
Waynesville, NC 28786-8097
Mailing address
23700 Commerce Park
Beachwood, OH 44122-5827
Phone (216) 292-5706
Other identifiers
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 3415110 | Medicaid | NC |
Other names
- Autumn Care of Waynesville
Other providers in Waynesville, NC
- Kathryn R Arrants
- John Adam Artley
- Brooke Ashe
- Jeanne Marie Askins
- Autumn Corporation
- Maria Averza
- Pablo Javier Averza
- Leslie Yvonne Badalucca
- Elaine Baines
- Teresa Jones Baker
All providers in Waynesville, NC · Skilled Nursing Facility in North Carolina
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Dec 19, 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.