Autumn Corporation

LBN: Autumn Corporation
Autumn Corporation is an health care organization with primary practice located at 320 N. Main St , Rich Square NC 27869. 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 Corporation can be contacted via phone (252) 439-4161, or through Marsh, Sam M. via phone (252) 443-6265.

Contact Information

Primary practice address
320 N. Main St Rich Square NC 27869
Phone: (252) 439-4161
Fax: (252) 439-4361
Website:
Map and Directions
Authorized official contact:
Name: Marsh, Sam M. CPA
Phone: (252) 443-6265

Health care specialties

SpecialtyCodeLicense #State
Nursing & Custodial Care Facilities / Skilled Nursing Facility 314000000X NH0045 North Carolina

Profile Details

NPI number 1205812427
LBN Legal business name Autumn Corporation
DBA Doing business as
Authorized official Marsh, Sam M. CPA
Entity Organization
Organization subpart 1 No
Enumeration date Dec 20th, 2005
Last updated Aug 22nd, 2020 - about 5 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 1205812427 NPPES
North Carolina MEDICAID 3415356

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