Autumn Corporation in Statesville - Nursing Facility/intermediate Care Facility

Autumn Corporation - NPI 1891966156

Autumn Corporation is a Nursing Facility/intermediate Care Facility in Statesville, North Carolina. Autumn Corporation practices all healthcare services and medical treatments related to Nursing Facility/intermediate Care Facility. The NPI Number for Autumn Corporation is 1891966156. The last update date is 2008-03-14.

Autumn Corporation's current location address is 2001 Van Haven Dr, Statesville, North Carolina. You can contact this provider via phone number 7048839700 and fax number 7048839966. The mailing address for Autumn Corporation is 2001 Van Haven Dr, Statesville, North Carolina. To know further, please read the information below!

Provider Profile Detail

Provider Organization Autumn Corporation
Address 2001 Van Haven Dr, Statesville, North Carolina
Phone Number 7048839700
Fax Number 7048839966
Sole Proprietor --
Credentials --

Authorized Official

Title or Position VICE PRESI
Authorized Official Name Marsh M Sam
Credentials CPA
Telephone Number 2524436265

NPI Number Detail

NPI Number 1891966156
Provider Enumeration Date 2008-03-14
Last Updated Date 2008-03-14

Provider Mailing Address Detail

Address 2001 Van Haven Dr
City Statesville
State North Carolina (NC)
Post Code 286254342
Phone Number 7048839700
Fax Number 7048839966

Provider's Primary Taxonomy Detail

Speciality Nursing Facility/intermediate Care Facility
Taxonomy 313M00000X
Licence No NH0599
Definition:
An institution (or a distinct part of an institution) which- (1) is primarily engaged in providing to residents- (A) skilled nursing care and related services for residents who require medical or nursing care, (B) rehabilitation services for the reha

Provider's Other Legacy Identifiers

Identifier Identifier Type Identifier State Identifier Issuer
340613P NC --

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FAQs about Autumn Corporation

What is the unique identifier code issued to Autumn Corporation by the Centers for Medicare & Medicaid Services (CMS)?

The Autumn Corporation has been assigned the NPI (National Provider Identifier) 1891966156. This 10-digit code serves as a unique identification number for healthcare providers, issued by the CMS.

Could you provide the complete address where Autumn Corporation is physically located?

The Autumn Corporation is situated at the following address: 2001 Van Haven Dr, Statesville, NC 286254342.

What is Autumn Corporation's area of specialization, and what is the corresponding taxonomy classification code for this field of practice?

The specialized area of practice for Autumn Corporation is Nursing Facility/intermediate Care Facility, and the taxonomy code that categorizes this field of expertise is 313M00000X.

On what date did the Autumn Corporation receive the assignment of its 1891966156 from the Centers for Medicare & Medicaid Services?

The Autumn Corporation was issued its 1891966156 by the Centers for Medicare & Medicaid Services on 2008-03-14.

When was the information regarding Autumn Corporation most recently updated?

The details pertaining to the Autumn Corporation, including its address, specialty, and other relevant information, were last refreshed on 2008-03-14.

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