Martha'S Group Homes in Jacksonville - Community/behavioral Health
Martha'S Group Homes - NPI 1053449157
Martha'S Group Homes is a Community/behavioral Health in Jacksonville, North Carolina. Martha'S Group Homes practices all healthcare services and medical treatments related to Community/behavioral Health. The NPI Number for Martha'S Group Homes is 1053449157. The last update date is 2020-08-22.
Martha'S Group Homes's current location address is 516 E Springhill Ter, Jacksonville, North Carolina. You can contact this provider via phone number 9109380670 and fax number 9109381229. The mailing address for Martha'S Group Homes is 516 E Springhill Ter, Jacksonville, North Carolina. To know further, please read the information below!
Provider Profile Detail
| Provider Organization | Martha'S Group Homes |
|---|---|
| Address | 516 E Springhill Ter, Jacksonville, North Carolina |
| Phone Number | 9109380670 |
| Fax Number | 9109381229 |
| Sole Proprietor | -- |
| Credentials | -- |
Authorized Official
| Title or Position | MANAGER |
|---|---|
| Authorized Official Name | Shepard Trevour Thomas |
| Credentials | QMHP, BS |
| Telephone Number | 9109380670 |
NPI Number Detail
| NPI Number | 1053449157 |
|---|---|
| Provider Enumeration Date | 2007-03-01 |
| Last Updated Date | 2020-08-22 |
Provider Mailing Address Detail
| Address | 516 E Springhill Ter |
|---|---|
| City | Jacksonville |
| State | North Carolina (NC) |
| Post Code | 285467366 |
| Phone Number | 9109380670 |
| Fax Number | 9109381229 |
Provider's Primary Taxonomy Detail
| Speciality | Community/behavioral Health |
|---|---|
| Taxonomy | 251S00000X |
| Licence No | MHL067-069 |
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Definition: A private or public agency usually under local government jurisdiction, responsible for assuring the delivery of community based mental health, intellectual disabilities, substance abuse and/or behavioral health services to individuals with those dis |
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Provider's Other Legacy Identifiers
| Identifier | Identifier Type | Identifier State | Identifier Issuer |
|---|---|---|---|
| 8301498 | NC | -- |
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What is the unique provider identifier assigned to Martha'S Group Homes?
The Martha'S Group Homes has been issued the NPI (National Provider Identifier) 1053449157 by the Centers for Medicare & Medicaid Services (CMS). This 10-digit code is a unique identification number for healthcare providers.
Where is the Martha'S Group Homes located?
The Martha'S Group Homes is located at 516 E Springhill Ter, Jacksonville, NC 285467366.
What is the Martha'S Group Homes's specialty and taxonomy code?
The Martha'S Group Homes's specialty is Community/behavioral Health, and the corresponding taxonomy code is 251S00000X.
On what date did Martha'S Group Homes receive its 1053449157 assignment from the Centers for Medicare & Medicaid Services?
The Martha'S Group Homes was assigned its 1053449157 on 2007-03-01, which is the date when this unique identifier was issued to the organization by the Centers for Medicare & Medicaid Services.
As of what date were the Martha'S Group Homes's details last updated?
The information pertaining to the Martha'S Group Homes, including its address, specialty, and other details, was most recently updated on 2020-08-22.