AUTUMN WIND
NPI 1457556458
Assisted Living Facility in Roseboro, NC

Active since June 19, 2007
507 W PINEWOOD ST, ROSEBORO, NC 28382(910) 525-4082(910) 525-4059 Get Directions Write a Review

NPPES record last updated: August 22, 2020. Verified against the NPPES registry weekly; last sync: July 26, 2026.

About Autumn Wind NPPES

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

AUTUMN WIND (NPI 1457556458) is a healthcare organization registered as an assisted living facility in Roseboro, North Carolina and active in the NPI registry since June 2007. The organization lists Jesse Chad Stewart, Administrator, as its authorized official.

NPPES Registry Identity

NPI1457556458
Entity TypeOrganization
Primary Taxonomy310400000X
Legal Business NameAUTUMN WIND
Location Address507 W PINEWOOD STRoseboro, NC 28382-5259
Mailing Address507 W Pinewood StRoseboro, NC 28382-5259 · (910) 525-4082 · Fax (910) 525-4059
Fax(910) 525-4059
Organization SubpartNo
Authorized OfficialJesse Chad StewartAdministrator · (910) 525-4082
Enumeration DateJune 19, 2007
Last NPPES UpdateAugust 22, 2020
NPI 1457556458 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 · HAL082012
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.

507 W PINEWOOD ST, Roseboro, NC 28382

Other Identifiers 1

Medicaid321ECS57NC

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.

Clinic/Center (Rehabilitation)
507 W PINEWOOD ST
ROSEBORO, NC 28382
Custodial Care Facility (Adult Care Home)
507 W PINEWOOD ST
ROSEBORO, NC 28382

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 Wind's NPI number?

The NPI number for Autumn Wind is 1457556458. It was assigned to this organization in the NPPES registry on June 19, 2007.

Where is Autumn Wind located?

Autumn Wind is located at 507 W Pinewood St, Roseboro, NC 28382. The listed phone number is (910) 525-4082.

What is Autumn Wind's specialty?

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

When was this NPI record last updated?

The NPPES record for Autumn Wind was last updated on August 22, 2020. NPI Profile syncs with the weekly NPPES data releases published by CMS.