.Martha'S Group Homes, Inc. in Jacksonville - Community Based Residential Treatment Facility, Mental Illness
.Martha'S Group Homes, Inc. - NPI 1528107505
.Martha'S Group Homes, Inc. is a Community Based Residential Treatment Facility, Mental Illness in Jacksonville, North Carolina. .Martha'S Group Homes, Inc. practices all healthcare services and medical treatments related to Community Based Residential Treatment Facility, Mental Illness. The NPI Number for .Martha'S Group Homes, Inc. is 1528107505. The last update date is 2020-08-22.
.Martha'S Group Homes, Inc.'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, Inc. 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, Inc. |
|---|---|
| Address | 516 E Springhill Ter, Jacksonville, North Carolina |
| Phone Number | 9109380670 |
| Fax Number | 9109381229 |
| Sole Proprietor | -- |
| Credentials | -- |
Authorized Official
| Title or Position | DIRECTOR-O |
|---|---|
| Authorized Official Name | Shepard Wooten Martha |
| Credentials | RN, BA, QM |
| Telephone Number | 9109380670 |
NPI Number Detail
| NPI Number | 1528107505 |
|---|---|
| Provider Enumeration Date | 2007-02-06 |
| 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 Based Residential Treatment Facility, Mental Illness |
|---|---|
| Taxonomy | 320800000X |
| Licence No | MHL-067-069 |
|
Definition: A home-like residential facility providing psychiatric treatment and psycho/social rehabilitative services to individuals diagnosed with mental illness. |
|
Provider's Other Legacy Identifiers
| Identifier | Identifier Type | Identifier State | Identifier Issuer |
|---|---|---|---|
| 6603169 | NC | -- |
Post Comment/ Review Below
What is the unique 10-digit identifier code assigned to .Martha'S Group Homes, Inc. by the Centers for Medicare & Medicaid Services?
The .Martha'S Group Homes, Inc. has been issued the NPI (National Provider Identifier) 1528107505 by the CMS (Centers for Medicare & Medicaid Services), which serves as a unique identification number for healthcare providers.
Could you kindly provide the complete physical address where .Martha'S Group Homes, Inc.'s facilities are geographically located?
The facilities of .Martha'S Group Homes, Inc. are physically situated at the following location: 516 E Springhill Ter, Jacksonville, NC, 285467366.
What is .Martha'S Group Homes, Inc.'s primary area of medical expertise, and what taxonomy classification code corresponds to this specialized field?
The primary area of medical expertise for .Martha'S Group Homes, Inc. is Community Based Residential Treatment Facility, Mental Illness, and the corresponding taxonomy classification code for this specialized field is 320800000X.
On what date did the .Martha'S Group Homes, Inc. receive the assignment of its 1528107505 from the Centers for Medicare & Medicaid Services?
The .Martha'S Group Homes, Inc. was issued its 1528107505 by the Centers for Medicare & Medicaid Services on 2007-02-06.
As of what date were the details pertaining to .Martha'S Group Homes, Inc. last refreshed?
The information related to the .Martha'S Group Homes, Inc., including its address, specialty, and other relevant details, was last updated on 2020-08-22.
NPI Number: 1942206313
Address: 1250 N Wenatchee Ave Suite H Pmb 352, Wenatchee, WA