Autumn Care Of Statesville

LBN: Autumn Corporation
Autumn Care Of Statesville is an health care organization with primary practice located at 2001 Van Haven Dr , Statesville NC 28625-4342. 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 (704) 883-9700, or through Marsh, Sam M via phone (252) 443-6265.

Contact Information

Primary practice address
2001 Van Haven Dr Statesville NC 28625-4342
Phone: (704) 883-9700
Fax: (704) 883-9966
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 NH0599 North Carolina

Profile Details

NPI number 1891966156
LBN Legal business name Autumn Corporation
DBA Doing business as Autumn Care Of Statesville
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.

Request for update

Identifiers

StateTypeNumberIssuer
All States NPI 1891966156 NPPES
North Carolina MEDICAID 340613P

Popular Providers