Organization · Type 2 NPI

Autumn Care of Statesville, LLC

Skilled Nursing Facility · Statesville, NC

NPI number 1730722240 Active

Practice location

2001 Van Haven Dr
Statesville, NC 28625-4342

Call (704) 883-9700 Map

Mailing address

23700 Commerce Park
Beachwood, OH 44122-5827

Specialties and licenses

Taxonomy	Code	License
Skilled Nursing Facility Primary	314000000X	None listed

Skilled Nursing Facility: (1) A skilled nursing facility is a facility or distinct part of an institution whose primary function is to provide medical, continuous nursing, and other health and social services to patients who are not in an acute phase of illness requiring services in a hospital, but who require primary restorative or skilled nursing services on an inpatient basis above the level of intermediate or custodial care in order to r…

12 other providers at this address

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NPI record

NPI: 1730722240
Entity type: Organization (Type 2)
Issued: Oct 28, 2019
Last updated: Dec 19, 2022
Status: Active
Subpart: Yes of Saber Healthcare Holdings, LLC

Other names

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Autumn Care of Statesville · doing business as
Autumn Care of Statesville · doing business as

Authorized official

William I Weisberg
President
(216) 292-5706

Verify this record

This page mirrors the public NPPES file. For credentialing or billing, confirm it on the official CMS NPI Registry, and check the license with the state board.

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About NPI 1730722240

Autumn Care of Statesville, LLC's National Provider Identifier is 1730722240, issued on Oct 28, 2019. The primary taxonomy on file is Skilled Nursing Facility (314000000X), and the practice location is in Statesville, NC. The record was last updated on Dec 19, 2022.