Autumn Springs Health Care Services Inc

Primary specialty

Home Health AgencyTaxonomy code 251E00000X

License

299981 Issued in OH

Legal business name

AUTUMN SPRINGS HEALTH CARE SERVICES INC

Practice address

6422 E Main St
Suite 202
Reynoldsburg, OH 43068-2358

Phone

(614) 367-1925

Fax

(614) 367-1926

NPI assigned

Sep 13, 2009

Organization subpart

No

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

Authorized official

Name

Chinyelu N Nwokolo, RN

Title

RN

Phone

(614) 452-0853

Specialties & licenses 1

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Enrolled in OH

Enrollment records 1

Home health agency certification: CCN 368318

Legal name

AUTUMN SPRINGS HEALTH CARE SERVICES INC

Certification status

Active

Provider type (POS)

Home health agency

Participating since

Jul 6, 2010

Last certification

Feb 21, 2019

Ownership / control type

Proprietary

Organization structure

CorporationProprietary

Incorporated

Sep 1, 2009 in OH

Enrollment address

6422 E Main St
Ste 202
Reynoldsburg, OH 43068-2302

Listed as

Autumn Springs Health Care Services, IncCCN 368318

Ownership

Proprietary

Certified

Jul 6, 2010

Medicare certification status

ActiveFrom the Provider of Services file

Services

Nursing, Home health aide, Physical therapy, Occupational therapy

Locations

All disclosed owners & managing parties 2

As disclosed on the Medicare enrollment (CMS All Owners files). Individuals include officers, directors and managing employees, who may not hold ownership.

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

{
    "created_epoch": "1252800000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1467763200000",
    "number": "1619200326",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6422 E MAIN ST",
            "address_2": "SUITE 202",
            "city": "REYNOLDSBURG",
            "state": "OH",
            "postal_code": "430682358",
            "telephone_number": "614-367-1925",
            "fax_number": "614-367-1926"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6422 E MAIN ST",
            "address_2": "SUITE 202",
            "city": "REYNOLDSBURG",
            "state": "OH",
            "postal_code": "430682358",
            "telephone_number": "614-367-1925",
            "fax_number": "614-367-1926"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "AUTUMN SPRINGS HEALTH CARE SERVICES INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2009-09-13",
        "last_updated": "2016-07-06",
        "status": "A",
        "authorized_official_last_name": "NWOKOLO",
        "authorized_official_first_name": "CHINYELU",
        "authorized_official_middle_name": "N",
        "authorized_official_title_or_position": "RN",
        "authorized_official_telephone_number": "614-452-0853",
        "authorized_official_credential": "RN"
    },
    "taxonomies": [
        {
            "code": "251E00000X",
            "taxonomy_group": "",
            "desc": "Home Health",
            "state": "OH",
            "license": "299981",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "3087645",
            "state": "OH"
        }
    ],
    "endpoints": [],
    "other_names": []
}

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• Home Health Agency in Reynoldsburg, OH
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• Home Health Agency in Ohio

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 6, 2016; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; facility enrollments, owners and changes of ownership; Provider of Services certification data.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.