Autumn Village, Inc. in Beulaville - Adult Care Home
Autumn Village, Inc. - NPI 1992929475
Autumn Village, Inc. is a Adult Care Home in Beulaville, North Carolina. Autumn Village, Inc. practices all healthcare services and medical treatments related to Adult Care Home. The NPI Number for Autumn Village, Inc. is 1992929475. The last update date is 2020-08-22.
Autumn Village, Inc.'s current location address is Po Box 1140, Beulaville, North Carolina. You can contact this provider via phone number 9102985877 and fax number 9102985578. The mailing address for Autumn Village, Inc. is Po Box 1140, Beulaville, North Carolina. To know further, please read the information below!
Provider Profile Detail
| Provider Organization | Autumn Village, Inc. |
|---|---|
| Address | Po Box 1140, Beulaville, North Carolina |
| Phone Number | 9102985877 |
| Fax Number | 9102985578 |
| Sole Proprietor | -- |
| Credentials | -- |
Authorized Official
| Title or Position | ADMINISTRA |
|---|---|
| Authorized Official Name | Ambrose Susan Rhonda |
| Telephone Number | 9102985877 |
NPI Number Detail
| NPI Number | 1992929475 |
|---|---|
| Provider Enumeration Date | 2007-04-13 |
| Last Updated Date | 2020-08-22 |
Provider Mailing Address Detail
| Address | Po Box 1140 |
|---|---|
| City | Beulaville |
| State | North Carolina (NC) |
| Post Code | 285181140 |
| Phone Number | 9102985877 |
| Fax Number | 9102985578 |
Provider's Primary Taxonomy Detail
| Speciality | Adult Care Home |
|---|---|
| Taxonomy | 311Za0620X |
| Licence No | HAL-031-014 |
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Definition: A custodial care facility providing supportive and personal care services to disabled and/or elderly individuals who cannot function independently in most areas of activity and need assistance and monitoring to enable them to remain in a home like en |
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What is the unique identifier code issued to Autumn Village, Inc. by the Centers for Medicare & Medicaid Services?
The Autumn Village, Inc. has been assigned the NPI (National Provider Identifier) 1992929475. This 10-digit code serves as a unique identification number for healthcare providers issued by the Centers for Medicare & Medicaid Services (CMS).
Can you provide the Autumn Village, Inc.'s physical address?
The Autumn Village, Inc. is physically located at Po Box 1140, in the city of Beulaville, NC, with the postal code 285181140.
What is the Autumn Village, Inc.'s specialty and taxonomy code?
The Autumn Village, Inc.'s specialty is Adult Care Home, and the corresponding taxonomy code is 311Za0620X.
When was the Autumn Village, Inc.'s 1992929475 issued?
The Autumn Village, Inc.'s 1992929475 was issued on 2007-04-13.
When was the Autumn Village, Inc.'s information last updated?
The Autumn Village, Inc.'s information was last updated on 2020-08-22.