Autumn Care Of Myrtle Grove

LBN: Autumn Corporation
Autumn Care Of Myrtle Grove is an health care organization with primary practice located at 5725 Carolina Beach Rd , Wilmington NC 28412-2611. The organization recently has 2 registered licenses in different health care specialties including Nursing & Custodial Care Facilities / Adult Care Home, Nursing & Custodial Care Facilities / Skilled Nursing Facility. Nursing & Custodial Care Facilities / Skilled Nursing Facility is the primary health care specialty. Autumn Corporation can be contacted via phone (910) 792-1455, or through Weisberg, William I. via phone (216) 292-5706.

Contact Information

Primary practice address
5725 Carolina Beach Rd Wilmington NC 28412-2611
Phone: (910) 792-1455
Fax: (910) 792-1492
Website:
Map and Directions
Authorized official contact:
Name: Weisberg, William I.
Phone: (216) 292-5706

Health care specialties

SpecialtyCodeLicense #State
Nursing & Custodial Care Facilities / Adult Care Home 311ZA0620X
Nursing & Custodial Care Facilities / Skilled Nursing Facility 314000000X NH0595 North Carolina

Profile Details

NPI number 1073599635
LBN Legal business name Autumn Corporation
DBA Doing business as Autumn Care Of Myrtle Grove
Authorized official Weisberg, William I.
Entity Organization
Organization subpart 1 Yes
Enumeration date Dec 15th, 2005
Last updated Dec 19th, 2022 - about 2 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 1073599635 NPPES
North Carolina MEDICAID 3405507

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