AUTUMN HOUSE
NPI 1962646836
Residential Treatment Facility, Intellectual and/or Developmental Disabilities in Greensboro, NC

Active since April 23, 2009
3902 DERBYSHIRE DR, GREENSBORO, NC 27410(336) 288-7360(336) 273-6522 Get Directions Write a Review

NPPES record last updated: April 23, 2009. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Autumn House NPPES

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

AUTUMN HOUSE (NPI 1962646836) is a healthcare organization registered as a residential treatment facility, intellectual and/or developmental disabilities in Greensboro, North Carolina and active in the NPI registry since April 2009. The organization lists Derek Mitchell, Operations Manager, as its authorized official.

NPPES Registry Identity

NPI1962646836
Entity TypeOrganization
Primary Taxonomy320600000X
Legal Business NameAUTUMN HOUSE
Location Address3902 DERBYSHIRE DRGreensboro, NC 27410-2216
Mailing Address1000 Revolution Mill Dr, Studio #2Greensboro, NC 27405-5082 · (336) 273-2640 · Fax (336) 273-6522
Fax(336) 273-6522
Organization SubpartYesParent: Alberta Professional Services, Inc.
Authorized OfficialDerek MitchellOperations Manager · (336) 273-2640
Enumeration DateApril 23, 2009
NPI 1962646836 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyResidential Treatment Facility, Intellectual and/or Developmental DisabilitiesResidential Treatment Facilities
Taxonomy Code320600000X
License Licensed in NC · MHL-041-874
Definition
A residential facility that provides habilitation services and other care and treatment to adults or children diagnosed with developmental and intellectual disabilities and are not able to live independently.
3902 DERBYSHIRE DR, Greensboro, NC 27410

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 House's NPI number?

The NPI number for Autumn House is 1962646836. It was assigned to this organization in the NPPES registry on April 23, 2009.

Where is Autumn House located?

Autumn House is located at 3902 Derbyshire Dr, Greensboro, NC 27410. The listed phone number is (336) 288-7360.

What is Autumn House's specialty?

The primary specialty registered for this NPI is Residential Treatment Facility, Intellectual and/or Developmental Disabilities with taxonomy code 320600000X.

When was this NPI record last updated?

The NPPES record for Autumn House was last updated on April 23, 2009. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 17 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.