Autumn Healthcare of Coshocton

Primary specialty

Skilled Nursing FacilityTaxonomy code 314000000X

License

2409N Issued in OH

Legal business name

AUTUMN HEALTHCARE OF COSHOCTON

Practice address

1991 Otsego Ave
Coshocton, OH 43812-9370

Phone

(740) 622-2074

Fax

(740) 622-5501

NPI assigned

Oct 19, 2005

Organization subpart

No

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

Authorized official

Name

Mr. Steve Hitchens

Title

Ceo/Owner

Phone

(740) 345-9199

Specialties & licenses 1

Addresses

Other identifiers 1

Locations

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

{
    "created_epoch": "1129680000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1186531200000",
    "number": "1992794150",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1991 OTSEGO AVE",
            "city": "COSHOCTON",
            "state": "OH",
            "postal_code": "438129370",
            "telephone_number": "740-622-2074",
            "fax_number": "740-622-5501"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1991 OTSEGO AVE",
            "city": "COSHOCTON",
            "state": "OH",
            "postal_code": "438129370",
            "telephone_number": "740-622-2074",
            "fax_number": "740-622-5501"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "AUTUMN HEALTHCARE OF COSHOCTON",
        "organizational_subpart": "NO",
        "enumeration_date": "2005-10-19",
        "last_updated": "2007-08-08",
        "status": "A",
        "authorized_official_last_name": "HITCHENS",
        "authorized_official_first_name": "STEVE",
        "authorized_official_title_or_position": "CEO/OWNER",
        "authorized_official_telephone_number": "740-345-9199",
        "authorized_official_name_prefix": "Mr."
    },
    "taxonomies": [
        {
            "code": "314000000X",
            "taxonomy_group": "",
            "desc": "Skilled Nursing Facility",
            "state": "OH",
            "license": "2409N",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "2473872",
            "state": "OH"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Gerald N. Arndt, D.C.
• Kylie Rene Art-Johnson, PT, DPT
• Blake Atkins, APRN
• Atlas Coshocton, Inc.
• Autumn Extended Care Facility, Inc.
• Brenda Bailey
• Amanda Dawn Baker, BA, QMHS
• Sarah Dawn Baker
• Bala Shark Emergency Physicians LLC
• Sue Balentine

• All providers in Coshocton, OH
• Skilled Nursing Facility in Ohio

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 8, 2007; 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.