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Contact Information

AUTUMN HEALTH CARE OF NEWARK
17 FORRY STREET
NEWARK, OH43055
 Phone: 740-349-8175
 Fax: 740-345-9289
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Skilled Nursing Facility

314000000X A1[8] Skilled Nursing Facility
Indicates primary specialty

NPI Profile & details for AUTUMN HEALTH CARE OF NEWARK

NPI Number 1922097476
LBN Legal business name AUTUMN HEALTH CARE OF NEWARK
Authorized official STEVE HITCHENS - (PRESIDENT)
Entity Organization
Organization subpart 1 No
Enumeration date 10/18/2005
Last updated 01/02/2015 - About 11 years ago
Identifiers
OH License # 2555R
OH License # 5545
OH Medicaid 2053594
1 Some organization health care providers are made up of components that furnish different types of health care or have separate physical locations where health care is furnished. These components and physical locations are not themselves legal entities, but are part of the organization health care provider (which is a legal entity). A covered organization provider may decide that its subparts (if it has any) should have their own NPI numbers. If a subpart conducts any HIPAA standard transactions on its own (e.g., separately from its parent), it must obtain its own NPI number.

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