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AUTUMN HOME CARE OF JOHNSTON CO., INC. III
NPI 1346372216
Assisted Living Facility in Selma, NC

Active since March 09, 2007CLIA 34D2016300 · Waiver
474 JERRY RD, SELMA, NC 27576(919) 965-3455(919) 965-3455 Get Directions Write a Review

NPPES record last updated: October 17, 2012. Verified against the NPPES registry weekly; last sync: August 09, 2026.

About Autumn Home Care Of Johnston Co., Inc. Iii NPPES

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

AUTUMN HOME CARE OF JOHNSTON CO., INC. III (NPI 1346372216) is a healthcare organization registered as an assisted living facility in Selma, North Carolina and active in the NPI registry since March 2007. The organization holds a CLIA Waiver certificate valid through November 15, 2026 and lists Thomas Edward White, President, as its authorized official.

NPPES Registry Identity

NPI1346372216
Entity TypeOrganization
Primary Taxonomy310400000X
Legal Business NameAUTUMN HOME CARE OF JOHNSTON CO., INC. III
Location Address474 JERRY RDSelma, NC 27576-9248
Mailing Address474 Jerry RdSelma, NC 27576-9248 · (919) 965-3455 · Fax (919) 965-3455
Phone(919) 965-3455
Fax(919) 965-3455
Organization SubpartNo
Authorized OfficialThomas Edward WhitePresident · (919) 965-3455
Enumeration DateMarch 9, 2007
Last NPPES UpdateOctober 17, 2012
✔ NPI 1346372216 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyAssisted Living FacilityNursing & Custodial Care Facilities
Taxonomy Code310400000X
License✔ Licensed in NC · HAL051001
Definition
A facility providing supportive services to individuals who can function independently in most areas of activity, but need assistance and/or monitoring to assure safety and well being.
474 JERRY RD, Selma, NC 27576
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Other Identifiers 1

Medicaid7806708NC

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 34D2016300

Autumn Home Care Of Johnston Co Inc · Selma, NC
Active · expires Nov 15, 2026
CLIA Number34D2016300
Laboratory TypeAssisted Living Facility
Certificate Effective DateNovember 16, 2024
Certificate Expiration DateNovember 15, 2026
Laboratory DirectorThomas White
Laboratory Phone(919) 965-3455
Laboratory LocationAutumn Home Care Of Johnston Co Inc474 Jerry Road, Selma, NC 27576
CLIA data matches this NPI record on: Address Name Phone
This certificate is issued to a laboratory to perform only waived tests.

Other Providers at the Same Location NPPES 2

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

AUTUMN HOME CARE OF JOHNSTON CO., INC. II
Assisted Living Facility
474 JERRY RD
SELMA, NC 27576
Johnston County (919) 965-3455
AUTUMN HOME CARE OF JOHNSTON CO., INC. I
Assisted Living Facility
474 JERRY RD
SELMA, NC 27576
Johnston County (919) 965-3455

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 Home Care Of Johnston Co., Inc. III's NPI number?

The NPI number for Autumn Home Care Of Johnston Co., Inc. III is 1346372216. It was assigned to this organization in the NPPES registry on March 9, 2007.

Where is Autumn Home Care Of Johnston Co., Inc. III located?

Autumn Home Care Of Johnston Co., Inc. III is located at 474 Jerry Rd, Selma, NC 27576. The listed phone number is (919) 965-3455.

What is Autumn Home Care Of Johnston Co., Inc. III's specialty?

The primary specialty registered for this NPI is Assisted Living Facility with taxonomy code 310400000X.

Does Autumn Home Care Of Johnston Co., Inc. III hold a CLIA laboratory certificate?

Yes. A Certificate of Waiver (number 34D2016300) is associated with this NPI, valid through November 15, 2026. CLIA certificates authorize laboratory testing under the federal Clinical Laboratory Improvement Amendments program.

When was this NPI record last updated?

The NPPES record for Autumn Home Care Of Johnston Co., Inc. III was last updated on October 17, 2012. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 13 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.