Autumn Aegis, Inc

LBN: Autumn Aegis, Inc
Autumn Aegis, Inc is an health care organization with primary practice located at 1130 Tower Blvd Suite A, Lorain OH 44052-5235. The organization recently has only one registered license in Nursing & Custodial Care Facilities / Skilled Nursing Facility, which is considered as the primary health care specialty. Autumn Aegis, Inc can be contacted via phone (440) 282-6768, or through Malanowski, Kenneth A via phone (440) 989-5200.

Contact Information

Primary practice address
1130 Tower Blvd Suite A Lorain OH 44052-5235
Fax: (440) 960-5612
Website:
Authorized official contact:
Name: Malanowski, Kenneth A

Health care specialties

SpecialtyCodeLicense #State
Nursing & Custodial Care Facilities / Skilled Nursing Facility 314000000X 1039 Ohio

Profile Details

NPI number 1639169493
LBN Legal business name Autumn Aegis, Inc
DBA Doing business as
Authorized official Malanowski, Kenneth A
Entity Organization
Organization subpart 1 No
Enumeration date Oct 24th, 2005
Last updated Mar 19th, 2015 - about 10 years ago

1 Some organizations, which are providing health care services, may consist of units or departments that provide different types of health care services or have several separate physical locations, where health care service is provided. These units, departments or physical locations are not themselves legal entities. However, each of them is part of the organization, which is a legal entity. The organization may decide whether its subparts, if it has any, should have their own NPI numbers. In case a subpart conducts any HIPAA standard transactions by itself, without its parent's involvement, it must have its own NPI number.

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Identifiers

StateTypeNumberIssuer
All States NPI 1639169493 NPPES
Ohio Other 70023800 BLACK LUNG
Ohio MEDICAID 0323733 BLACK LUNG
Ohio Other 000000156349 BLACK LUNG
Ohio Other 000000357077 BLACK LUNG
Ohio Other 000000357078 BLACK LUNG
Ohio Other 000000357079 BLACK LUNG

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