AUTUMN CARE OF MYRTLE GROVE
NPI 1073599635
Custodial Care Facility, Adult Care Home in Wilmington,


Quality Rating: 100 out of 100 score

NPI Status: Active since December 15, 2005

Contact Information

5725 Carolina Beach Rd
Wilmington,
Post Code: 28412
Phone: (910) 792-1455
Fax: (910) 792-1492

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Autumn Care Of Myrtle Grove in Wilmington - Custodial Care Facility, Adult Care Home

Autumn Care Of Myrtle Grove is a Custodial Care Facility, Adult Care Home in Wilmington, . Autumn Care Of Myrtle Grove practices all healthcare services and medical treatments related to Custodial Care Facility, Adult Care Home. The NPI Number for Autumn Care Of Myrtle Grove is 1073599635. The last update date is 2022-12-19.

Autumn Care Of Myrtle Grove's current location address is 5725 Carolina Beach Rd, Wilmington, . You can contact this provider via phone number (910) 792-1455 and fax number (910) 792-1492. The mailing address for Autumn Care Of Myrtle Grove is 5725 Carolina Beach Rd, Wilmington, . To know further, please read the information below!

About GREGORY MERRITT

NPI
1073599635
Provider Legal Name
AUTUMN CORPORATION
Other Organization Name
AUTUMN CARE OF MYRTLE GROVE
Other Name Type
Doing Business As(3)
Entity Type
Organization
Location Address
5725 Carolina Beach Rd, Wilmington,
Location Phone
(910) 792-1455
Location Fax
(910) 792-1492
Mailing Address
23700 Commerce Park, Beachwood, Ohio(OH)
Mailing Phone
216-292-5706
Mailing Fax
-
Enumeration Date
2005-12-15
Last Update Date
2022-12-19
Code Navigator

Specialty - Primary Taxonomy

The NPI enumerator requires providers to submit at least one taxonomy code. A taxonomy code is a unique 10-character code that describes the healthcare provider type, classification, and the area of specialization. There could be only one primary taxonomy code per NPI record. For individual NPIs the license data is associated to the taxonomy code.

Classification

Skilled Nursing Facility

Taxonomy Code
314000000X
Type
-
License No.
nh0595
License State
North Carolina (NC)
Taxonomy Description
-

Secondary Taxonomies

The provider has reported to the NPI enumerator additional taxonomy codes. Multiple taxonomy codes may represent subspecialties or other areas of specialization the provider maybe licensed to practice.

No. Taxonomy Code Type Classification /
Specialization
License No. (State)
1 311ZA0620X Adult Care Home Facility

Custodial Care Facility, Adult Care Home

()

Additional Identifiers

The NPI Enumerator encourages providers to submit additional identifiers with their NPI application although the submission of this information is optional. The additional identifier(s) section includes other numbers or codes currently or formerly used as an identifier for the provider by other public healthcare entities. The identifiers may include UPIN, NSC, OSCAR, DEA, Medicaid State or PIN identification numbers.

Identifier Type / Code Identifier State Identifier Issuer
3405507 MEDICAID (05) North Carolina (NC)

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NPI Validation Check Digit Calculation


The following table explains the step by step NPI number validation process using the ISO standard Luhn algorithm.

Start with the original NPI number, the last digit is the check digit and is not used in the calculation.
1073599635
Step 1: Double the value of the alternate digits, beginning with the rightmost digit.
201431091866
Step 2: Add all the doubled and unaffected individual digits from step 1 plus the constant number 24. 201431091866
2 + 0 + 1 + 4 + 3 + 1 + 0 + 9 + 1 + 8 + 6 + 6 + 24 = 65
Step 3: Subtract the total obtained in step 2 from the next higher number ending in zero, the result is the check digit.
70 - 65 = 5 5

The NPI number 1073599635 is valid because the calculated check digit 5 using the Luhn validation algorithm matches the last digit of the original NPI number.

Other Providers at the Same Location


The following 5 providers are registered at the same or nearby location.

NPI Name / Type Taxonomy Address
1033112081 JOHN PATRICK FOGARTY
Individual
Internal Medicine, Pulmonary Disease 1850 W ARLINGTON BLVD
GREENVILLE, North Carolina (NC)
252-752-6101
1033112057 ANN MARIE NYE
Individual
Pharmacist, Pharmacotherapy 101 HEART DR. MS 654
GREENVILLE, North Carolina (NC)
252-744-2612
1053314062 RICHARD MANN
Individual
Internal Medicine, Pulmonary Disease 1850 W ARLINGTON BLVD
GREENVILLE, North Carolina (NC)
252-752-6101
1003819020 DIANON SYSTEM INC
Organization
Clinical Medical Laboratory 133 E DAVIS ST
BURLINGTON, North Carolina (NC)
800-328-2666
1043213044 DAVID J MAYBERRY
Individual
Dentist, General Practice 1539 E INNES ST
SALISBURY, North Carolina (NC)
704-637-1232