Organization Active NPI

Martha'S Group Homes

  • Case Management Agency
  • Jacksonville, NC
National Provider Identifier
1053449157
Registry record updated Sep 11, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Case Management AgencyTaxonomy code 251B00000X
License
MHL067-069 Issued in NC
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

Updated by the provider on Sep 11, 2025

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)CodeLicenseStatePrimary
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

IdentifierTypeStateIssuer
8301498MedicaidNC

National Provider Directory

National Provider Directory
Tax ID family
Martha'S Group Homes Inc3 organizations share this tax ID, including this one

Other organizations with this tax ID 2

Organizations that report the same tax identification number in the National Provider Directory.

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.

Verify at the official NPI Registry.