NPIMap

Organization Active NPI

Autumn Home Care of Johnston Co., Inc. I

  • Assisted Living Facility
  • Selma, NC
National Provider Identifier
1831221704
Registry record updated Oct 11, 2012
On this page

Key facts

NPPES NPI Registry
Primary specialty
Assisted Living FacilityTaxonomy code 310400000X
License
HAL051002 Issued in NC
Legal business name
AUTUMN HOME CARE OF JOHNSTON CO., INC. I
Practice address
474 Jerry Rd
Selma, NC 27576-9248
Phone
(919) 965-3455
Fax
(919) 965-3455
NPI assigned
Mar 9, 2007
Last updated
Oct 11, 2012By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Oct 11, 2012

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

Authorized official

Name
Mr. Thomas Edward White
Title
President
Phone
(919) 965-3455

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Assisted Living Facility 310400000X HAL051002 NC Primary

Addresses

Primary practice location

474 Jerry Rd
Selma, NC 27576-9248

Mailing address

474 Jerry Rd
Selma, NC 27576-9248
Phone (919) 965-3455

National Provider Directory

National Provider Directory
Tax ID family
Autumn Home Care of Johnston Co Inc I3 organizations share this tax ID, including this one

Other organizations with this tax ID 2

Organizations that report the same tax identification number in the National Provider Directory.

NPI Registry JSON

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

{
    "created_epoch": "1173398400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1349913600000",
    "number": "1831221704",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "474 JERRY RD",
            "city": "SELMA",
            "state": "NC",
            "postal_code": "275769248",
            "telephone_number": "919-965-3455",
            "fax_number": "919-965-3455"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "474 JERRY RD",
            "city": "SELMA",
            "state": "NC",
            "postal_code": "275769248",
            "telephone_number": "919-965-3455",
            "fax_number": "919-965-3455"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "AUTUMN HOME CARE OF JOHNSTON CO., INC. I",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-03-09",
        "last_updated": "2012-10-11",
        "status": "A",
        "authorized_official_last_name": "WHITE",
        "authorized_official_first_name": "THOMAS",
        "authorized_official_middle_name": "EDWARD",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "919-965-3455",
        "authorized_official_name_prefix": "Mr."
    },
    "taxonomies": [
        {
            "code": "310400000X",
            "taxonomy_group": "",
            "desc": "Assisted Living Facility",
            "state": "NC",
            "license": "HAL051002",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Selma, NC

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 11, 2012; 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.