Autumn Hill, Inc.

Primary specialty

Skilled Nursing FacilityTaxonomy code 314000000X

License

758 Issued in AR

Legal business name

AUTUMN HILL, INC.

Practice address

500 Hammons Ave
Berryville, AR 72616-4300

Phone

(870) 423-6966

NPI assigned

Jan 4, 2010

Organization subpart

No

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

Authorized official

Name

Jenny Kilgore

Title

Cfo

Phone

(479) 474-6885

Specialties & licenses 1

Addresses

Other identifiers 1

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

{
    "created_epoch": "1262563200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1264982400000",
    "number": "1811227432",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2010 MAIN ST",
            "city": "VAN BUREN",
            "state": "AR",
            "postal_code": "729564957",
            "telephone_number": "479-474-6885",
            "fax_number": "479-474-9523"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "500 HAMMONS AVE",
            "city": "BERRYVILLE",
            "state": "AR",
            "postal_code": "726164300",
            "telephone_number": "870-423-6966"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "AUTUMN HILL, INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2010-01-04",
        "last_updated": "2010-02-01",
        "status": "A",
        "authorized_official_last_name": "KILGORE",
        "authorized_official_first_name": "JENNY",
        "authorized_official_title_or_position": "CFO",
        "authorized_official_telephone_number": "479-474-6885"
    },
    "taxonomies": [
        {
            "code": "314000000X",
            "taxonomy_group": "",
            "desc": "Skilled Nursing Facility",
            "state": "AR",
            "license": "758",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "180138311",
            "state": "AR"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Alice M. Martinson, M.D.
• Alice M. Martinson, M.D.
• Skylar Bree Andrews-Zabel, COTA
• Dalton Anglin
• Ashley Asbury
• Axpm-Harrison PLLC
• Cathy Barker-Brown, NP
• Kathy Barnes, LMSW
• Berryville Eyecare Clinic
• Jim D Blanchard, DDS

• All providers in Berryville, AR
• Skilled Nursing Facility in Arkansas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 1, 2010; 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.