.Martha'S Group Homes, Inc.
LBN: .Martha'S Group Homes, Inc.
.Martha'S Group Homes, Inc. is an health care organization with primary practice located at 303 S Shore Dr , Jacksonville NC 28540-5647. The organization recently has only one registered license in Residential Treatment Facilities / Community Based Residential Treatment Facility, Mental Illness, which is considered as the primary health care specialty.
.Martha'S Group Homes, Inc. can be contacted via phone (910) 938-0670, or through Shepard, Martha Wooten via phone (910) 938-0670.
Contact Information
Primary practice address
303 S Shore Dr
Jacksonville NC 28540-5647
Phone: (910) 938-0670
Fax: (910) 938-1229
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Residential Treatment Facilities / Community Based Residential Treatment Facility, Mental Illness | 320800000X | MHL-067-069 | North Carolina |
Profile Details
| NPI number | 1528107505 |
|---|---|
| LBN Legal business name | .Martha'S Group Homes, Inc. |
| DBA Doing business as | |
| Authorized official | Shepard, Martha Wooten RN, BA, QMHP, QDD |
| Entity | Organization |
| Organization subpart 1 | No |
| Enumeration date | Feb 6th, 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.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1528107505 | NPPES |
| North Carolina | MEDICAID | 6603169 |
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