AUTUMN HOME CARE OF JOHNSTON CO., INC. II
NPI 1811047426
Assisted Living Facility in Selma, NC

NPI Status: Active since January 12, 2007

Contact Information

474 JERRY RD
SELMA, NC
ZIP 27576
Phone: (919) 965-3455
Fax: (919) 965-3455

Get Directions Write a Review

  • Organization
  • Assisted Living Facility
  • CLIA Number: 34D2016300
  • CLIA Cert. Type: Assisted Living Facility
  • CLIA Exp. Date: 11-15-2026

About AUTUMN HOME CARE OF JOHNSTON CO., INC. II

This page provides the complete NPI Profile along with additional information for Autumn Home Care Of Johnston Co., Inc. Ii, a provider established in Selma, North Carolina operating as a Assisted Living Facility. The healthcare provider is registered in the NPI registry with number 1811047426 assigned on January 2007. The practitioner's primary taxonomy code is 310400000X with license number HAL051003 (NC). The provider is registered as an organization and their NPI record was last updated 14 years ago. The authorized official of this NPI record is Mr. Thomas Edward White (President)

NPI
1811047426
Provider Name
AUTUMN HOME CARE OF JOHNSTON CO., INC. II
Entity Type
Organization
Location Address
474 JERRY RD SELMA, NC 27576
Location Phone
(919) 965-3455
Location Fax
(919) 965-3455
Mailing Address
474 JERRY RD SELMA, NC 27576
Mailing Phone
(919) 965-3455
Mailing Fax
(919) 965-3455
Is Sole Proprietor?
No
Is Organization Subpart?
No
Enumeration Date
01-12-2007
Last Update Date
10-11-2012
Code Navigator

Location Map

Specialty - Primary Taxonomy

The NPI enumerator requires providers to submit at least one taxonomy code. A taxonomy code is a unique 10-character code that describes the healthcare provider type, classification, and the area of specialization. There could be only one primary taxonomy code per NPI record. For individual NPIs the license data is associated to the taxonomy code.

Classification

Assisted Living Facility

Taxonomy Code
310400000X
Type
Nursing & Custodial Care Facilities
License No.
HAL051003
License State
NC
Taxonomy Description
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.

Insurance Plans Accepted

According to publicly available information the provider might be accepting the following health plans from these health insurance companies:

Specific plan information not avaialable, please contact the provider to verify if your insurance plan is accepted.

Specific plan information not avaialable, please contact the provider to verify if your insurance plan is accepted.

*Please verify directly with this provider to make sure your insurance plan is currently accepted.

Authorized Official

The authorized official is the designated individual with the legal authority to make changes to the provider’s official NPI record. For organizations, the authorized official must be a general partner, chairman of the board, CEO, CFO or a direct owner holding at least a 5 percent stake in the medical organization.

Authorized Official Name

MR. THOMAS EDWARD WHITE

Authorized Official Title
PRESIDENT
Authorized Official Phone
(919) 965-3455

Additional Identifiers

The NPI Enumerator encourages providers to submit additional identifiers with their NPI application although the submission of this information is optional. The additional identifier(s) section includes other numbers or codes currently or formerly used as an identifier for the provider by other public healthcare entities. The identifiers may include UPIN, NSC, OSCAR, DEA, Medicaid State or PIN identification numbers.

Identifier Type / Code Identifier State Identifier Issuer
7806701MEDICAID (05)NC 

CLIA Information

The Clinical Laboratory Improvement Amendments (CLIA) of 1988 applies to facilities or sites that test human specimens for health assessment or to diagnose, prevent, or treat disease. The CLIA Program sets standards for clinical laboratory testing and issues certificates. The NPI / CLIA crosswalk information for this NPI number is:

CLIA Number
34D2016300
Facility Type
Assisted Living Facility
Certificate Effective Date
November 16, 2024
Certificate Expiration Date
November 15, 2026
Laboratory Director
THOMAS WHITE
Certificate Type
Certificate of Waiver
Certificate Type Description
This CLIA certificate is issued to Autumn Home Care Of Johnston Co., Inc. Ii to perform only waived tests. CLIA defines waived tests as simple tests with a low risk for an incorrect result. Waived tests include certain tests listed in CLIA regulations, tests cleared by the FDA for home use and tests approved by the FDA for waived status and that meet CLIA waiver criteria.

Reviews for AUTUMN HOME CARE OF JOHNSTON CO., INC. II

There are currently no reviews for this provider. Be the first person to share your experience with this provider by filling out our review form. Your insights are appreciated and will help others make informed decisions.

NPI NPI Number Validation

How NPI Validation Works

The NPI validation process uses the ISO-standard Luhn algorithm, a mathematical "handshake", to ensure that a provider's 10-digit ID is authentic and free of common typing errors.

To verify the NPI 1811047426, we treat the final digit (6) as the Check Digit—the target answer we need to reach. The process begins by taking the first nine digits and adding a constant value of 24, which accounts for the "80840" prefix required for all U.S. health identifiers. We then double every other digit starting from the right and sum the individual digits of those results together. For this specific NPI, that total comes to 54. The final step is to find the difference between that total and the next multiple of ten (60 - 54 = 6).

Digit-by-digit view

Use the first nine digits for the calculation. Starting from the right, double every other digit. The last digit is the check digit and is not part of the calculation.

Pos 1
1
Doubled → 2
Pos 2
8
Unchanged
Pos 3
1
Doubled → 2
Pos 4
1
Unchanged
Pos 5
0
Doubled → 0
Pos 6
4
Unchanged
Pos 7
7
Doubled → 14 → 1 + 4
Pos 8
4
Unchanged
Pos 9
2
Doubled → 4
Check
6
Target digit
Regular digit Doubled digit Check digit

Step 1: Double every other digit from the right

Starting with the rightmost digit of the first nine digits, double every other value. If doubling creates a two-digit number, add those digits together.

1 → 2 1 → 2 0 → 0 7 → 14 → 5 2 → 4

Step 2: Add all digits plus the NPI constant

Add the transformed values, the unchanged digits, and the constant 24.

2 + 8 + 2 + 1 + 0 + 4 + 1 + 4 + 4 + 4 + 24 = 54

Step 3: Find the amount needed to reach the next multiple of 10

The next multiple of ten after 54 is 60. The difference is the calculated check digit.

60 - 54 = 6
This NPI is valid
The calculated check digit is 6, which matches the last digit of 1811047426.

Other Providers at the Same Location


The following 2 providers are registered at the same or a nearby location.

Assisted Living Facility
474 JERRY RD
SELMA, NC 27576
Assisted Living Facility
474 JERRY RD
SELMA, NC 27576

Frequently Asked Questions

The NPI number assigned to this healthcare provider is 1811047426, enumerated as an "organization" on January 12, 2007.

The provider is located at 474 JERRY RD SELMA, NC 27576 and the phone number is (919) 965-3455.

Assisted Living Facility with taxonomy code 310400000X.

The provider might be accepting Accepts: Medicare and Medicaid. Please consult your insurance carrier or call the provider to verify.