Autumn Oak Home Care LLC

Primary specialty

Home Health AgencyTaxonomy code 251E00000X

License

HC2109 Issued in NC

Legal business name

AUTUMN OAK HOME CARE LLC

Practice address

915 Main St
105 Park Place
North Wilkesboro, NC 28659-4254

Phone

(336) 667-3007

NPI assigned

Jan 15, 2007

Last updated

Jul 11, 2011By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Don W Maines

Title

President

Phone

(336) 667-3007

Specialties & licenses 1

Addresses

Other identifiers 2

Locations

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

{
    "created_epoch": "1168819200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1310342400000",
    "number": "1619028933",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "915 MAIN ST",
            "address_2": "105 PARK PLACE",
            "city": "NORTH WILKESBORO",
            "state": "NC",
            "postal_code": "286594254",
            "telephone_number": "336-667-3007"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "915 MAIN ST",
            "address_2": "105 PARK PLACE",
            "city": "NORTH WILKESBORO",
            "state": "NC",
            "postal_code": "286594254",
            "telephone_number": "336-667-3007"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "AUTUMN OAK HOME CARE LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-01-15",
        "last_updated": "2011-07-11",
        "status": "A",
        "authorized_official_last_name": "MAINES",
        "authorized_official_first_name": "DON",
        "authorized_official_middle_name": "W",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "336-667-3007"
    },
    "taxonomies": [
        {
            "code": "251E00000X",
            "taxonomy_group": "",
            "desc": "Home Health",
            "state": "NC",
            "license": "HC2109",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "6601028",
            "state": "NC"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "3409637",
            "state": "NC"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Chris Anthony
• Artizo Ministries
• Derwood Lee Ashworth, D.D.S., M.SC.O.
• Ats of North Carolina, LLC (Mountain Health Solutions North Wilkesboro)
• Wun CHI Augustin, D.O.
• Savanna Lynn Badgett, PTA
• Sandra K. Baker, MD
• Susan Suddreth Baker, RPH
• Joshua C Ballard, FNP
• Brenda Barber

• Home Health Agency in North Wilkesboro, NC
• Providers in North Wilkesboro, NC by specialty
• Home Health Agency in North Carolina

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 11, 2011; 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.