AUTUMN CARE OF STATESVILLE
NPI 1891966156
Nursing Facility/Intermediate Care Facility in Statesville, NC

Q: What is Autumn Corporation's NPI number?

The NPI number for Autumn Corporation is 1891966156. It was assigned to this organization in the NPPES registry on March 14, 2008. The provider is doing business as Autumn Care Of Statesville.

Q: What is Autumn Corporation's specialty?

The primary specialty registered for this NPI is Nursing Facility/Intermediate Care Facility with taxonomy code 313M00000X.

Active since March 14, 2008

2001 VAN HAVEN DR, STATESVILLE, NC 28625(704) 883-9700(704) 883-9966 Get Directions Write a Review

NPPES record last updated: March 14, 2008. Verified against the NPPES registry weekly; last sync: August 09, 2026.

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About Autumn Care Of Statesville NPPES

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

AUTUMN CARE OF STATESVILLE (NPI 1891966156) is a healthcare organization registered as a nursing facility/intermediate care facility in Statesville, North Carolina and active in the NPI registry since March 2008. The organization lists Sam M Marsh, Vice President Of Finance, as its authorized official.

NPPES Registry Identity

NPI1891966156

Entity TypeOrganization

Primary Taxonomy313M00000X

Legal Business NameAUTUMN CORPORATION

Location Address2001 VAN HAVEN DRStatesville, NC 28625-4342

Mailing Address2001 Van Haven DrStatesville, NC 28625-4342 · (704) 883-9700 · Fax (704) 883-9966

Phone(704) 883-9700

Fax(704) 883-9966

Organization SubpartNo

Authorized OfficialSam M MarshVice President Of Finance · (252) 443-6265

Enumeration DateMarch 14, 2008

✔ NPI 1891966156 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyNursing Facility/Intermediate Care FacilityNursing & Custodial Care Facilities

Taxonomy Code313M00000X

License✔ Licensed in NC · NH0599

Definition

An institution (or a distinct part of an institution) which- (1) is primarily engaged in providing to residents- (A) skilled nursing care and related services for residents who require medical or nursing care, (B) rehabilitation services for the rehabilitation of injured, disabled, or sick persons, or, on a regular basis, health-related care and services to individuals who because of their mental or physical condition require care and services (above the level of room and board) which can be made available to them only through institutional facilities, and is not primarily for the care and treatment of mental diseases; (2) has in effect a transfer agreement with one or more hospitals.

2001 VAN HAVEN DR, Statesville, NC 28625

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Other Names 1

Doing Business AsAutumn Care Of Statesville

Other Identifiers 1

Medicaid340613PNC

Other Providers at the Same Location NPPES 12

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

CARLY FILIAULT

Physical Therapist