Provider Demographics
NPI:1083416416
Name:AUTUMN HOME CARE SERVICES
Entity type:Organization
Organization Name:AUTUMN HOME CARE SERVICES
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:AGENCY DIRECTOR AND CEO
Authorized Official - Prefix:MRS
Authorized Official - First Name:SONDRA
Authorized Official - Middle Name:
Authorized Official - Last Name:TRICE-JONES
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:919-627-1111
Mailing Address - Street 1:918 RIVERS EDGE DR
Mailing Address - Street 2:
Mailing Address - City:GRAHAM
Mailing Address - State:NC
Mailing Address - Zip Code:27253-8716
Mailing Address - Country:US
Mailing Address - Phone:919-627-1111
Mailing Address - Fax:
Practice Address - Street 1:1033 WADE AVE STE 200
Practice Address - Street 2:
Practice Address - City:RALEIGH
Practice Address - State:NC
Practice Address - Zip Code:27605-1155
Practice Address - Country:US
Practice Address - Phone:919-627-1111
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2025-03-26
Last Update Date:2025-04-29
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes253Z00000XAgenciesIn Home Supportive Care
No251B00000XAgenciesCase Management
No251J00000XAgenciesNursing Care
No385H00000XRespite Care FacilityRespite Care