OrganizationActive
Autumn Village, Inc.
NPI 1992929475 · Adult Care Home Facility · Beulaville, NC
Provider details
- NPI number
- 1992929475
- Entity type
- Organization
- Primary specialty
- Adult Care Home FacilityNursing & Custodial Care Facilities
- Organization subpart
- No
- Authorized official
- Rhonda Ambrose, Administrator(910) 298-5877
- License
- HAL-031-014 (NC)
Specialties & taxonomies
Nursing & Custodial Care Facilities
Profile Score
Detailed profile(89/100 index)
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure38% of score
19 yrs in NPPES registry
- Profile completeness38% of score
100% of core fields populated
- Practice footprint23% of score
1 documented practice location
Signals a provider has no public data for (e.g. Medicare claims) are left out of the score entirely — never counted as zero — so providers without that data are not penalized. See the full formula and weights in our methodology.
Practice location
235 N Nc 41 Hwy
Beulaville, NC 28518-8633
Phone: (910) 298-5877
Fax: (910) 298-5578
Approximate (ZIP-level) locationGet directions
Mailing address
Po Box 1140
Beulaville, NC 28518-1140
Registry dates
- Enumerated
- 2007-04-13
- Last updated
- 2020-08-22
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.