NPIMap

Organization Active NPI

Robin Hood Group Home

  • Intellectual Disabilities Intermediate Care Facility
  • Wilmington, NC
National Provider Identifier
1053657973
Registry record updated Mar 4, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Intellectual Disabilities Intermediate Care FacilityTaxonomy code 315P00000X
License
MHL065034 Issued in NC
Legal business name
ROBIN HOOD GROUP HOME
Practice address
1507 Robinhood Rd
Wilmington, NC 28401-6623
Phone
(910) 251-2555
Fax
(910) 251-0590
NPI assigned
Dec 20, 2012
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Mar 4, 2021

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name
Mr. Edward Martin Walsh
Title
Executive Director
Phone
(910) 251-2555

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Intellectual Disabilities Intermediate Care Facility 315P00000X MHL065034 NC Primary
Intellectual Disabilities Intermediate Care Facility 315P00000X

Addresses

Primary practice location

1507 Robinhood Rd
Wilmington, NC 28401-6623

Mailing address

1504 N Kerr Ave
Wilmington, NC 28405-1110
Phone (910) 251-2555

Other identifiers 1

IdentifierTypeStateIssuer
340602NMedicaidNC

Other names 1

  • Cape Fear Group Homes, Inc. Other name

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

Intermediate care facility for individuals with intellectual disabilities certification: CCN 34G245

Name & address match This certification has no NPI in the Medicare enrollment files. CMS publishes enrollment files for six facility types only, so it was connected to this NPI by matching the name and address CMS publishes for it.

Legal name
ROBINHOOD GROUP HOME
Certification status
Active
Provider type (POS)
Intermediate care facility for individuals with intellectual disabilities
Participating since
Jul 28, 1992
Last certification
Jun 24, 2025
Beds
6
Ownership / control type
Private (non-profit)
Facility address
1507 Robinhood Rd
Wilmington, NC 28401

National Provider Directory

National Provider Directory
Tax ID family
Cape Fear Group Homes Inc7 organizations share this tax ID, including this one

Other organizations with this tax ID 6

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

Locations

1504 N Kerr Ave
Wilmington, NC 28405

1507 Robin Hood Rd
Wilmington, NC 28401
Phone (910) 251-2555

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1355961600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1614816000000",
    "number": "1053657973",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1504 N KERR AVE",
            "city": "WILMINGTON",
            "state": "NC",
            "postal_code": "284051110",
            "telephone_number": "910-251-2555",
            "fax_number": "910-251-0590"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1507 ROBINHOOD RD",
            "city": "WILMINGTON",
            "state": "NC",
            "postal_code": "284016623",
            "telephone_number": "910-251-2555",
            "fax_number": "910-251-0590"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ROBIN HOOD GROUP HOME",
        "organizational_subpart": "NO",
        "enumeration_date": "2012-12-20",
        "last_updated": "2021-03-04",
        "certification_date": "2021-03-04",
        "status": "A",
        "authorized_official_last_name": "WALSH",
        "authorized_official_first_name": "EDWARD",
        "authorized_official_middle_name": "MARTIN",
        "authorized_official_title_or_position": "EXECUTIVE DIRECTOR",
        "authorized_official_telephone_number": "910-251-2555",
        "authorized_official_name_prefix": "Mr."
    },
    "taxonomies": [
        {
            "code": "315P00000X",
            "taxonomy_group": "",
            "desc": "Intermediate Care Facility, Intellectual Disabilities",
            "state": "NC",
            "license": "MHL065034",
            "primary": true
        },
        {
            "code": "315P00000X",
            "taxonomy_group": "",
            "desc": "Intermediate Care Facility, Intellectual Disabilities",
            "state": null,
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "340602N",
            "state": "NC"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Cape Fear Group Homes, Inc.",
            "code": "5",
            "type": "Other Name"
        },
        {
            "organization_name": "Cape Fear Group Homes, Inc.",
            "code": "5",
            "type": "Other Name"
        }
    ]
}

Other providers in Wilmington, NC

Sources for this page

Verify at the official NPI Registry.