Autumn Health Care of Newark
Organization Active NPI Skilled Nursing Facility · Newark, OH
NPI 1922097476 · NPPES record last updated Jan 2, 2015
Key facts
- NPI
- 1922097476
- Entity type
- Organization (NPI type 2)
- Primary specialty
- Skilled Nursing Facility 314000000X
- License
- 2555R (OH)
- Legal business name
- AUTUMN HEALTH CARE OF NEWARK
- Practice address
- 17 Forry Street
Newark, OH 43055 - Phone
- (740) 349-8175
- Fax
- (740) 345-9289
- NPI assigned
- Oct 18, 2005
- Organization subpart
- No
Authorized official
- Name
- Mr. Steve L. Hitchens
- Title
- President
- Phone
- (740) 345-9199
National Provider Directory
Locations
17 Forry St
Newark, OH 43055
Phone (740) 345-9197
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Skilled Nursing Facility | 314000000X | 5545 | OH | |
| Skilled Nursing Facility | 314000000X | 2555R | OH | Yes |
Addresses
Primary practice location
17 Forry Street
Newark, OH 43055
Mailing address
17 Forry Street
Newark, OH 43055
Phone (740) 349-8175
Other identifiers
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 2053594 | Medicaid | OH |
Other providers in Newark, OH
- Pamela D Ash
- Sierra Dawn Ash
- Pamela Ashley
- Assisted Living Concepts Inc
- Autumn Care Center, Inc.
- Autumn Health Care of Thornville, Inc.
- Angela Bacak
- Makayla Bachelor
- Heidi Back
- Jaclynn Pauline Back
All providers in Newark, OH · Skilled Nursing Facility in Ohio
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Jan 2, 2015. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.