Autumn Health Inc

Primary specialty

Home Health AgencyTaxonomy code 251E00000X

Legal business name

AUTUMN HEALTH INC

Practice address

201 Russell Ave
Gaithersburg, MD 20877-2800

Phone

(240) 623-0000

NPI assigned

Jul 6, 2015

Organization subpart

No

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

Authorized official

Name

Michael David Priddy

Title

Owner

Phone

(240) 623-0000

Specialties & licenses 1

Addresses

Other names 1

• Interim Home Health Doing business as

Medicare fee-for-service enrollment

Enrolled in MD

Enrollment records 1

Home health agency certification: CCN 217159

Legal name

AUTUMN HEALTH INC

Doing business as

INTERIM HOME HEALTH

Certification status

Active

Provider type (POS)

Home health agency

Participating since

Oct 27, 2009

Last certification

Aug 2, 2018

Ownership / control type

Proprietary

Most recent change of ownership

Mar 1, 2024

Organization structure

CorporationProprietary

Incorporated

Oct 23, 2014 in VA

Enrollment address

201 Russell Ave
Gaithersburg, MD 20877-2800

Listed as

Interim Home HealthCCN 217159

Overall star rating

3 of 5

Ownership

Proprietary

Certified

Oct 27, 2009

Medicare certification status

ActiveFrom the Provider of Services file

Services

Nursing, Home health aide, Physical therapy, Speech pathology, Occupational therapy

These CMS records do not include an NPI. They are shown because their name and street address match this provider’s.

CLIA laboratory certificates

Member of 1

Organizations this organization is a member of, according to the National Provider Directory.

• Asbury Communities HCBS, Inc.

  • Clinical Medical Laboratory
  • Gaithersburg, MD
  • NPI 1003569054

  Member Of

  NPD member

All disclosed owners & managing parties 4

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

Change-of-ownership history 1

Change of ownership 1

Medicare changes of ownership in which this facility was the buyer or the seller.

• Asbury Communities HCBS, Inc.

  • Home Health Agency
  • Gaithersburg, MD
  • NPI 1659762979

  Acquired from, 2024-03-01

  CMS change of ownership

Affiliated clinicians 3

Clinicians who list this facility as an affiliation in Medicare Care Compare.

• Attan Kasid, MD

  • Internal Medicine Physician
  • Gaithersburg, MD
  • NPI 1740362599

  Home health agency

  Care Compare affiliation
• Sheila Moses Mathew, CRNP

  • Family Nurse Practitioner
  • Silver Spring, MD
  • NPI 1467605295

  Home health agency

  Care Compare affiliation
• Loren Martinez Wilkerson, MD

  • Geriatric Medicine (Internal Medicine) Physician
  • Durham, NC
  • NPI 1477729648

  Home health agency

  Care Compare affiliation

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

{
    "created_epoch": "1436140800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1715558400000",
    "number": "1821471186",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "15137 ROLLINMEAD DR",
            "city": "GAITHERSBURG",
            "state": "MD",
            "postal_code": "208783906",
            "telephone_number": "240-623-0000",
            "fax_number": "855-676-2109"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "201 RUSSELL AVE",
            "city": "GAITHERSBURG",
            "state": "MD",
            "postal_code": "208772800",
            "telephone_number": "240-623-0000"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "AUTUMN HEALTH INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2015-07-06",
        "last_updated": "2024-05-13",
        "certification_date": "2024-05-13",
        "status": "A",
        "authorized_official_last_name": "PRIDDY",
        "authorized_official_first_name": "MICHAEL",
        "authorized_official_middle_name": "DAVID",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "240-623-0000"
    },
    "taxonomies": [
        {
            "code": "251E00000X",
            "taxonomy_group": "",
            "desc": "Home Health",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Interim Home Health",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Attan Kasid MD PC
• Sophia Ugonma Atu
• Carley Rachel Aubertin
• Gregory Charles Aubertin, DPM
• Authentic Mental Wellness LLC
• Avalon Health LLC
• Jada Arline Marie Avery
• Ariana Avila Salas
• Adjovi Odilone Awouvi, MSN, APRN, FNP-C
• Awouviaprn LLC

• Home Health Agency in Gaithersburg, MD
• Providers in Gaithersburg, MD by specialty
• Home Health Agency in Maryland

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 13, 2024; 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.