Autumn Care Of Altavista

LBN: Autumn Corporation
Autumn Care Of Altavista is an health care organization with primary practice located at 1317 Lola Ave , Altavista VA 24517-1352. The organization recently has 2 registered licenses in different health care specialties including Nursing & Custodial Care Facilities / Custodial Care Facility, Nursing & Custodial Care Facilities / Skilled Nursing Facility. Nursing & Custodial Care Facilities / Skilled Nursing Facility is the primary health care specialty. Autumn Corporation can be contacted via phone (434) 369-6651, or through Weisberg, William I. via phone (216) 292-5706.

Contact Information

Primary practice address
1317 Lola Ave Altavista VA 24517-1352
Phone: (434) 369-6651
Fax: (434) 309-7254
Website:
Map and Directions
Authorized official contact:
Name: Weisberg, William I.
Phone: (216) 292-5706

Health care specialties

SpecialtyCodeLicense #State
Nursing & Custodial Care Facilities / Custodial Care Facility 311Z00000X NH2483 Virginia
Nursing & Custodial Care Facilities / Skilled Nursing Facility 314000000X NH2483 Virginia

Profile Details

NPI number 1134105836
LBN Legal business name Autumn Corporation
DBA Doing business as Autumn Care Of Altavista
Authorized official Weisberg, William I.
Entity Organization
Organization subpart 1 No
Enumeration date Dec 15th, 2005
Last updated Jan 21st, 2019 - about 6 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.

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Identifiers

StateTypeNumberIssuer
All States NPI 1134105836 NPPES
Virginia MEDICAID 4951964

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