AUTUMN CARE OF SHALLOTTE
NPI 1346226040
Skilled Nursing Facility in Shallotte, NC

Active since December 15, 2005CLIA 34D0245994 · Waiver
237 MULBERRY ST, SHALLOTTE, NC 28470(910) 754-8858(910) 755-5059 Get Directions Write a Review

NPPES record last updated: December 19, 2022. Verified against the NPPES registry weekly; last sync: September 27, 2026.

Record update history: Dec 19, 2022, Jan 10, 2022, Jan 18, 2019 (3 updates tracked since 2019).

About Autumn Care Of Shallotte NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

AUTUMN CARE OF SHALLOTTE (NPI 1346226040) is a healthcare organization registered as a skilled nursing facility in Shallotte, North Carolina and active in the NPI registry since December 2005. The organization holds a CLIA Waiver certificate valid through August 31, 2028 and lists William I. Weisberg, President, as its authorized official.

NPPES Registry Identity

NPI1346226040
Entity TypeOrganization
Primary Taxonomy314000000X
Legal Business NameAUTUMN CORPORATION
Location Address237 MULBERRY STShallotte, NC 28470-4471
Mailing Address23700 Commerce ParkBeachwood, OH 44122-5827 · (216) 292-5706
Fax(910) 755-5059
Organization SubpartYesParent: Saber Healthcare Holdings, Llc
Authorized OfficialWilliam I. WeisbergPresident · (216) 292-5706
Enumeration DateDecember 15, 2005
Last NPPES UpdateDecember 19, 20223 updates tracked since enumeration
NPPES CertifiedDecember 19, 2022
✔ NPI 1346226040 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtySkilled Nursing FacilityNursing & Custodial Care Facilities
Taxonomy Code314000000X
License✔ Licensed in NC · NH0456
Definition
(1) A skilled nursing facility is a facility or distinct part of an institution whose primary function is to provide medical, continuous nursing, and other health and social services to patients who are not in an acute phase of illness requiring services in a hospital, but who require primary restorative or skilled nursing services on an inpatient basis above the level of intermediate or custodial care in order to reach a degree of body functioning to permit self care in essential daily living. It meets any licensing or certification standards et forth by the jurisdiction where it is located. A skilled nursing facility may be a freestanding facility or part of a hospital that has been certified by Medicare to admit patients requiring subacute care and rehabilitation; (2) Provides non-acute medical and skilled nursing care services, therapy and social services under the supervision of a licensed registered nurse on a 24-hour basis.
Also ListedCustodial Care Facility · Adult Care HomeTaxonomy 311ZA0620X
237 MULBERRY ST, Shallotte, NC 28470

Other Names 1

Doing Business AsAutumn Care Of Shallotte

Other Identifiers 1

Medicaid3405294NC

Accepted Insurance

CLIA Laboratory Certificates CMS CLIA

Laboratory certificates issued under the Clinical Laboratory Improvement Amendments (CLIA) program, which sets federal quality standards for human laboratory testing in the United States. There is no official CMS crosswalk between CLIA and NPI numbers; these certificates are associated with this NPI by matching facility names, locations and phone numbers in the CMS CLIA registry.

Certificate of Waiver 34D0245994

Autumn Care Of Shallotte · Shallotte, NC
Active · expires Aug 31, 2028
CLIA Number34D0245994
Laboratory TypeSkilled Nursing Facility/Nursing Facility
Certificate Effective DateSeptember 1, 2026
Certificate Expiration DateAugust 31, 2028
Laboratory DirectorKaren Stetz
Laboratory Phone(919) 754-8858
Laboratory LocationAutumn Care Of Shallotte237 Mulberry Street, Shallotte, NC 28459
CLIA data matches this NPI record on: Address Name
This certificate is issued to a laboratory to perform only waived tests.

Other Providers at the Same Location NPPES 16

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

Occupational Therapy Assistant
237 MULBERRY ST
SHALLOTTE, NC 28470
Speech-Language Pathologist
237 MULBERRY ST
SHALLOTTE, NC 28470
Nurse Practitioner (Family)
237 MULBERRY ST
SHALLOTTE, NC 28470
Physical Therapist
237 MULBERRY ST
SHALLOTTE, NC 28470
Speech-Language Pathologist
237 MULBERRY ST
SHALLOTTE, NC 28470
Occupational Therapist
237 MULBERRY ST
SHALLOTTE, NC 28470
Occupational Therapy Assistant
237 MULBERRY ST
SHALLOTTE, NC 28470
Nurse Practitioner (Family)
237 MULBERRY ST
SHALLOTTE, NC 28470

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Autumn Corporation's NPI number?

The NPI number for Autumn Corporation is 1346226040. It was assigned to this organization in the NPPES registry on December 15, 2005. The provider is doing business as Autumn Care Of Shallotte.

Where is Autumn Corporation located?

Autumn Corporation is located at 237 Mulberry St, Shallotte, NC 28470. The listed phone number is (910) 754-8858.

What is Autumn Corporation's specialty?

The primary specialty registered for this NPI is Skilled Nursing Facility with taxonomy code 314000000X.

Does Autumn Corporation hold a CLIA laboratory certificate?

Yes. A Certificate of Waiver (number 34D0245994) is associated with this NPI, valid through August 31, 2028. CLIA certificates authorize laboratory testing under the federal Clinical Laboratory Improvement Amendments program.

What insurance does Autumn Corporation accept?

Health plans from Blue Cross and Blue Shield of NC, Oscar Health Plan of North Carolina, Inc and UnitedHealthcare list Autumn Corporation as in-network in at least one marketplace plan. Coverage varies by plan and year; verify with the insurer or the provider before a visit.

When was this NPI record last updated?

The NPPES record for Autumn Corporation was last updated on December 19, 2022. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 3 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.