Autumn Wind

LBN: Autumn Wind
Autumn Wind is an health care organization with primary practice located at 507 W Pinewood St , Roseboro NC 28382-5259. The organization recently has only one registered license in Nursing & Custodial Care Facilities / Assisted Living Facility, which is considered as the primary health care specialty. Autumn Wind can be contacted via phone (910) 525-4082, or through Stewart, Jesse Chad via phone (910) 525-4082.

Contact Information

Primary practice address
507 W Pinewood St Roseboro NC 28382-5259
Phone: (910) 525-4082
Fax: (910) 525-4059
Website:
Map and Directions
Authorized official contact:
Name: Stewart, Jesse Chad
Phone: (910) 525-4082

Health care specialties

SpecialtyCodeLicense #State
Nursing & Custodial Care Facilities / Assisted Living Facility 310400000X HAL082012 North Carolina

Profile Details

NPI number 1457556458
LBN Legal business name Autumn Wind
DBA Doing business as
Authorized official Stewart, Jesse Chad
Entity Organization
Organization subpart 1 No
Enumeration date Jun 19th, 2007
Last updated Aug 22nd, 2020 - about 4 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 1457556458 NPPES
North Carolina MEDICAID 321ECS57

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