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 only one registered license in Nursing & Custodial Care Facilities / Nursing Facility/Intermediate Care Facility, which is considered as the primary health care specialty. Autumn Corporation can be contacted via phone (910) 792-1455, or through Marsh, Sam M via phone (252) 443-6265.

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: Marsh, Sam M CPA
Phone: (252) 443-6265

Health care specialties

SpecialtyCodeLicense #State
Nursing & Custodial Care Facilities / Nursing Facility/Intermediate Care Facility 313M00000X NH0595 North Carolina

Profile Details

NPI number 1255502514
LBN Legal business name Autumn Corporation
DBA Doing business as Autumn Care Of Myrtle Grove
Authorized official Marsh, Sam M CPA
Entity Organization
Organization subpart 1 No
Enumeration date Mar 14th, 2008
Last updated Mar 14th, 2008 - about 16 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 1255502514 NPPES
North Carolina MEDICAID 340613D

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