Martha'S Group Homes

LBN: Martha'S Group Homes
Martha'S Group Homes is an health care organization with primary practice located at 516 E Springhill Ter , Jacksonville NC 28546-7366. The organization recently has 2 registered licenses in different health care specialties including Agencies / Case Management, Agencies / Community/Behavioral Health. Agencies / Case Management is the primary health care specialty. Martha'S Group Homes can be contacted via phone (910) 938-0670, or through Shepard, Thomas Trevour via phone (910) 938-0670.

Contact Information

Primary practice address
516 E Springhill Ter Jacksonville NC 28546-7366
Phone: (910) 938-0670
Fax: (910) 938-1229
Website:
Map and Directions
Authorized official contact:
Name: Shepard, Thomas Trevour QMHP, BS
Phone: (910) 938-0670

Health care specialties

SpecialtyCodeLicense #State
Agencies / Case Management 251B00000X MHL067-069 North Carolina
Agencies / Community/Behavioral Health 251S00000X MHL067-069 North Carolina

Profile Details

NPI number 1053449157
LBN Legal business name Martha'S Group Homes
DBA Doing business as
Authorized official Shepard, Thomas Trevour QMHP, BS
Entity Organization
Organization subpart 1 No
Enumeration date Mar 1st, 2007
Last updated Aug 22nd, 2020 - about 4 years ago

1 Some organizations, which are providing health care services, may consist of units or departments that provide different types of health care services or have several separate physical locations, where health care service is provided. These units, departments or physical locations are not themselves legal entities. However, each of them is part of the organization, which is a legal entity. The organization may decide whether its subparts, if it has any, should have their own NPI numbers. In case a subpart conducts any HIPAA standard transactions by itself, without its parent's involvement, it must have its own NPI number.

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Identifiers

StateTypeNumberIssuer
All States NPI 1053449157 NPPES
North Carolina MEDICAID 8301498

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