AUTUMN CARE OF STATESVILLE
NPI 1427034099
Skilled Nursing Facility in Statesville, NC

Active since December 15, 2005CLIA 34D0996241 · Waiver
3/5
Overall Rating
2001 VAN HAVEN DR, STATESVILLE, NC 28625(704) 883-9700(704) 883-9966 Get Directions Write a Review

NPPES record last updated: January 21, 2019. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Autumn Care Of Statesville NPPES

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

AUTUMN CARE OF STATESVILLE (NPI 1427034099) is a healthcare organization registered as a skilled nursing facility in Statesville, North Carolina and active in the NPI registry since December 2005. The organization holds a CLIA Waiver certificate valid through February 12, 2028 and lists William I. Weisberg, Vice President, as its authorized official.

NPPES Registry Identity

NPI1427034099
Entity TypeOrganization
Primary Taxonomy314000000X
Legal Business NameAUTUMN CORPORATION
Location Address2001 VAN HAVEN DRStatesville, NC 28625-4342
Mailing Address26691 Richmond RdBedford Heights, OH 44146-1421 · (216) 292-5706
Fax(704) 883-9966
Organization SubpartNo
Authorized OfficialWilliam I. WeisbergVice President · (216) 292-5706
Enumeration DateDecember 15, 2005
Last NPPES UpdateJanuary 21, 2019
NPI 1427034099 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtySkilled Nursing FacilityNursing & Custodial Care Facilities
Taxonomy Code314000000X
License Licensed in NC · NH0599
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.
2001 VAN HAVEN DR, Statesville, NC 28625

Other Names 1

Doing Business AsAutumn Care Of Statesville

Other Identifiers 1

Medicaid3405511NC

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 34D0996241

Autumn Care Of Statesville, LLC · Statesville, NC
Active · expires Feb 12, 2028
CLIA Number34D0996241
Laboratory TypeSkilled Nursing Facility/Nursing Facility
Certificate Effective DateFebruary 13, 2026
Certificate Expiration DateFebruary 12, 2028
Laboratory DirectorKenesha Kirkland
Laboratory Phone(704) 883-9700
Laboratory LocationAutumn Care Of Statesville, LLC2001 Van Haven Dr, Statesville, NC 28677
CLIA data matches this NPI record on: Address Name Phone
This certificate is issued to a laboratory to perform only waived tests.

Nursing Home Quality Ratings CMS Care Compare

Quality ratings, staffing and inspection history for Autumn Care Of Statesville (CMS certification number 345511), from CMS Care Compare.

Autumn Care Of Statesville

Nursing home · Statesville, NC
3/5 CMS Overall Rating
OwnershipFor profit - Corporation
CMS Certification Number345511
Certified Beds103 beds99 residents per day on average
Medicare & Medicaid Participant SinceDecember 19, 2001
Resident & Family CouncilResident council
Automatic sprinkler system

CMS Star Ratings

Quality Measures
Based on a select set of clinical quality measures.
3/5
Long-Stay Quality
Quality of care delivered to long-term residents.
5/5
Short-Stay Quality
Quality of care delivered to short-term and rehabilitation residents.
1/5
Staffing
Based on nursing staff hours relative to resident needs.
2/5
Weighted Health Inspection Score
Lower scores are better; the score summarizes deficiencies found on recent inspections.
38
Ratings are assigned by CMS on a one-to-five star scale; five is the highest. Categories without a current CMS rating are not shown.

Staffing & Turnover

Total Nurse Staffing
nurse aide 2.34 · LPN 0.84 · RN 0.34
3.53 hrs per resident per day
Weekend Nurse Staffing
3.1 hrs per resident per day
Physical Therapist Staffing
0.1 hrs per resident per day
Nursing Staff Turnover
Share of nursing staff who left the facility within the past year.
72%
Registered Nurse Turnover
81.8%
Administrators Who Have Left
In the past year.
0
Higher staffing hours generally allow more direct care time per resident.

Inspections & Enforcement

Facility-Reported Incidents
0
Substantiated Complaints
8
Infection-Control Citations
0
Fines
1 totaling $15,592.85
Medicare Payment Denials
0
Total Penalties
1
Counts come from CMS inspections and complaint investigations over approximately the past three years. CMS Care Compare data as of October 1, 2024.

Other Providers at the Same Location NPPES 11

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

Physical Therapist
2001 VAN HAVEN DR
STATESVILLE, NC 28625
Speech-Language Pathologist
2001 VAN HAVEN DR
STATESVILLE, NC 28625
Physical Therapy Assistant
2001 VAN HAVEN DR
STATESVILLE, NC 28625
Occupational Therapy Assistant
2001 VAN HAVEN DR
STATESVILLE, NC 28625
Physical Therapy Assistant
2001 VAN HAVEN DR
STATESVILLE, NC 28625
Occupational Therapy Assistant
2001 VAN HAVEN DR
STATESVILLE, NC 28625
Nurse Practitioner (Acute Care)
2001 VAN HAVEN DR
STATESVILLE, NC 28625
Nurse Practitioner (Adult Health)
2001 VAN HAVEN DR
STATESVILLE, NC 28625

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 1427034099. It was assigned to this organization in the NPPES registry on December 15, 2005. The provider is doing business as Autumn Care Of Statesville.

Where is Autumn Corporation located?

Autumn Corporation is located at 2001 Van Haven Dr, Statesville, NC 28625. The listed phone number is (704) 883-9700.

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 34D0996241) is associated with this NPI, valid through February 12, 2028. CLIA certificates authorize laboratory testing under the federal Clinical Laboratory Improvement Amendments program.

Is Autumn Corporation a Medicare-certified nursing home?

Yes. Autumn Care Of Statesville is a Medicare-certified nursing home with 103 certified beds.

What quality rating does Autumn Corporation have?

CMS rates Autumn Care Of Statesville 3 out of 5 stars overall on Care Compare. The full measure detail is in the Nursing Home Quality Ratings section above.

What insurance does Autumn Corporation accept?

Health plans from Blue Cross and Blue Shield of NC 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 January 21, 2019. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 7 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.