Autumn Corporation
Autumn Corporation is a healthcare organization registered as Skilled Nursing Facility in King, NC, holding Type 2 (organization) NPI 1417933615 since 2005. The authorized official on file is Sam Marsh, Vice President/Cfo.
✓ Active NPI ✓ Valid NPI checksum
| NPI | 1417933615 |
|---|---|
| Entity type | Organization (Type 2) |
| Legal business name | Autumn Corporation |
| Other name | <Unavail> |
| Practice address | 440 INGRAM ROAD EXT., King, NC, 27021 |
| Phone | 3369834900 |
| Fax | 3369834710 |
| Enumeration date | 2005-12-20 |
| Last updated in NPPES | 2008-05-02 |
Authorized official
| Name | Sam Marsh |
|---|---|
| Title | Vice President/Cfo |
| Phone | 2524436265 |
Taxonomy & classification
| Taxonomy code | Specialty | Primary | License | State |
|---|---|---|---|---|
| 314000000X | Skilled Nursing Facility | Primary | NH0507 | NC |
Other identifiers
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 3405381 | Medicaid | NC | — |
Copy-ready billing details
Provider: Autumn Corporation NPI: 1417933615 Taxonomy: 314000000X (Skilled Nursing Facility) Address: 440 INGRAM ROAD EXT., King, NC, 27021
Providers at this address
| NPI | Name | Type | Specialty | Location |
|---|---|---|---|---|
| 1619148996 | Autumn Corporation | Organization | Nursing Facility/Intermediate Care Facility | King, NC |
Verify this record
Cross-check NPI 1417933615 against the authoritative CMS record: view Autumn Corporation on the official NPPES registry .
What is an NPI number?
A National Provider Identifier (NPI) is a unique 10-digit number that CMS assigns to every U.S. healthcare provider and organization under HIPAA. Type 1 NPIs identify individual providers; Type 2 NPIs identify organizations. The NPI appears on insurance claims, prescriptions, and credentialing paperwork, and never changes — even if the provider moves or changes specialty. Read the full guide or validate an NPI number.
Frequently asked questions
Who is the authorized official for Autumn Corporation?
What is the NPI number for Autumn Corporation?
Source: CMS NPPES (public data). Snapshot 2026-07-11. Provider record last updated 2008-05-02.