Autumn Care of Myrtle Grove – Skilled Nursing Facility, NPI 1073599635

Autumn Care of Myrtle Grove is a healthcare provider. based in Bedford heights, Ohio. specializing in Skilled Nursing Facility. The organization holds a License No. NH0595 (NC). The NPI Number for Autumn Care of Myrtle Grove is 1073599635

Main info

Organization
Name
Autumn Care of Myrtle Grove
NPI
1073599635
Phone
(216) 292-5706
Address
26691 RICHMOND RD
Authorized Official
WILLIAM I. WEISBERG PRESIDENT
Enumeration Date
15 December 2005
Last Update Date
19 December 2022
Data current as of
19 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience69
Completeness80
Years active:20State licenses:1Digital endpointsUpdated within 12 months

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Provider Addresses for Autumn Care of Myrtle Grove

  • 26691, Richmond Road, Bedford Heights, Cuyahoga County, Ohio, 44146, United States

    BEDFORD HEIGHTS, OH 441461421

    Phone: (216) 292-5706

    Type: Mailing

  • Carolina Beach Road, Wilmington, New Hanover County, North Carolina, 28412, United States

    WILMINGTON, NC 284122611

    Phone: (910) 792-1455

    Fax: (910) 792-1492

    Type: Location

  • 23700 COMMERCE PARK

    BEACHWOOD, OH 441225827

    Phone: (216) 292-5706

    Type: Mailing

NPPES updates history

No NPPES updates recorded for this provider.

Prescription Activity

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Open Payments (CMS)

No Open Payments data available for this provider.

This can happen when there are no reportable CMS Open Payments records.

Medicare Enrollment & Revalidation

Source: CMS public data · Not endorsed by CMS ·

Educational use only—not medical, billing, or legal advice.

PECOS enrollment status

Participating (accepts Medicare assignment)

Enrollment effective: 2008-10-23

PECOS data refreshed: 2026-05-27

Medicare revalidation (CMS due date list)

Due date not assigned yet

CMS is tracking this Medicare enrollment for revalidation, but has not published a due date.

Enrollment records

1

Earliest due date

Not assigned (TBD)

CMS data updated

2026-06-01

Revalidation progress

  1. Medicare enrolled
  2. On CMS revalidation list
  3. Due date assigned
  4. Revalidate in PECOS

CMS enrollment records

Enrollment IDTypeSpecialtyStateDue date
O20081023000669OSkilled Nursing FacilityNCTBD

What to do next

  • No action required while the due date shows TBD.
  • Check the CMS Revalidation Lookup Tool periodically — CMS updates the list about every 60 days.
  • Do not submit a revalidation application in PECOS until CMS publishes a concrete due date.

Verify on CMS Revalidation Lookup Tool

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Medicare Utilization (FFS)

Source: CMS public data · Not endorsed by CMS · Beneficiary counts under 11 are suppressed in source data ·

Educational use only—not medical, billing, or legal advice.

No Medicare fee-for-service utilization data available for this provider in our database.

Insurance plans in this area (ZIP 44146)

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Reviews

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Frequently asked questions

Is Autumn Care of Myrtle Grove listed with a National Provider Identifier?
Yes — Autumn Care of Myrtle Grove has NPI 1073599635 on file in the registry.
Would Autumn Care of Myrtle Grove appear as active to a payer?
You can treat Autumn Care of Myrtle Grove as active for directory purposes; confirm clinical privileges separately.
What kind of doctor is Autumn Care of Myrtle Grove?
Autumn Care of Myrtle Grove is associated with Skilled Nursing Facility in the directory — Clinical services aligned with this taxonomy classification.
What locale is associated with Autumn Care of Myrtle Grove?
Directory geography for Autumn Care of Myrtle Grove centers on Bedford Heights, Ohio.
When was this NPI issued?
Enumeration for Autumn Care of Myrtle Grove is noted as December 15, 2005 where the registry provides it.

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