Autumn Aegis, Inc
LBN: Autumn Aegis, Inc
Autumn Aegis, Inc is an health care organization with primary practice located at 1130 Tower Blvd Suite A, Lorain OH 44052-5235. The organization recently has only one registered license in Nursing & Custodial Care Facilities / Skilled Nursing Facility, which is considered as the primary health care specialty.
Autumn Aegis, Inc can be contacted via phone (440) 282-6768, or through Malanowski, Kenneth A via phone (440) 989-5200.
Contact Information
Primary practice address
1130 Tower Blvd Suite A
Lorain OH 44052-5235
Phone: (440) 282-6768
Fax: (440) 960-5612
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Nursing & Custodial Care Facilities / Skilled Nursing Facility | 314000000X | 1039 | Ohio |
Profile Details
| NPI number | 1639169493 |
|---|---|
| LBN Legal business name | Autumn Aegis, Inc |
| DBA Doing business as | |
| Authorized official | Malanowski, Kenneth A |
| Entity | Organization |
| Organization subpart 1 | No |
| Enumeration date | Oct 24th, 2005 |
| Last updated | Mar 19th, 2015 - about 11 years ago |
1 Some organizations, which are providing health care services, may consist of units or departments that provide different types of health care services or have several separate physical locations, where health care service is provided. These units, departments or physical locations are not themselves legal entities. However, each of them is part of the organization, which is a legal entity. The organization may decide whether its subparts, if it has any, should have their own NPI numbers. In case a subpart conducts any HIPAA standard transactions by itself, without its parent's involvement, it must have its own NPI number.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1639169493 | NPPES |
| Ohio | Other | 70023800 | BLACK LUNG |
| Ohio | MEDICAID | 0323733 | BLACK LUNG |
| Ohio | Other | 000000156349 | BLACK LUNG |
| Ohio | Other | 000000357077 | BLACK LUNG |
| Ohio | Other | 000000357078 | BLACK LUNG |
| Ohio | Other | 000000357079 | BLACK LUNG |
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