Active NPI
Martha'S Group Homes
- Case Management Agency
- Jacksonville, NC
National Provider Identifier
1053449157
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Case Management Agency
- License
- MHL067-069
- Legal business name
- MARTHA'S GROUP HOMES
- Practice address
- 516 E Springhill Ter
Jacksonville, NC 28546-7366 - Phone
- (910) 938-0670
- Fax
- (910) 938-1229
- NPI assigned
- Mar 1, 2007
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Thomas Trevour Shepard, QMHP, BS
- Title
- Manager
- Phone
- (910) 938-0670
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Case Management Agency | 251B00000X | MHL067-069 | NC | Primary |
| Community/Behavioral Health Agency | 251S00000X | MHL067-069 | NC |
Addresses
Primary practice location
516 E Springhill Ter
Jacksonville, NC 28546-7366
Mailing address
516 E Springhill Ter
Jacksonville, NC 28546-7366
Phone (910) 938-0670
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 8301498 | Medicaid | NC |
National Provider Directory
National Provider Directory- Tax ID family
- Martha'S Group Homes Inc
Other organizations with this tax ID 2
Organizations that report the same tax identification number in the National Provider Directory.
-
- Mental Illness Community Based Residential Treatment Facility
- Jacksonville, NC
- NPI 1528107505
-
- Clinical Social Worker
- Jacksonville, NC
- NPI 1578752770
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1172707200000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1757548800000",
"number": "1053449157",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "516 E SPRINGHILL TER",
"city": "JACKSONVILLE",
"state": "NC",
"postal_code": "285467366",
"telephone_number": "910-938-0670",
"fax_number": "910-938-1229"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "516 E SPRINGHILL TER",
"city": "JACKSONVILLE",
"state": "NC",
"postal_code": "285467366",
"telephone_number": "910-938-0670",
"fax_number": "910-938-1229"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "MARTHA'S GROUP HOMES",
"organizational_subpart": "NO",
"enumeration_date": "2007-03-01",
"last_updated": "2025-09-11",
"status": "A",
"authorized_official_last_name": "SHEPARD",
"authorized_official_first_name": "THOMAS",
"authorized_official_middle_name": "TREVOUR",
"authorized_official_title_or_position": "MANAGER",
"authorized_official_telephone_number": "910-938-0670",
"authorized_official_credential": "QMHP, BS"
},
"taxonomies": [
{
"code": "251B00000X",
"taxonomy_group": "",
"desc": "Case Management",
"state": "NC",
"license": "MHL067-069",
"primary": true
},
{
"code": "251S00000X",
"taxonomy_group": "",
"desc": "Community/Behavioral Health",
"state": "NC",
"license": "MHL067-069",
"primary": false
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "8301498",
"state": "NC"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Jacksonville, NC
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 11, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.