Marthe'S Home Behavioral Health

Primary specialty

Intellectual and/or Developmental Disabilities Community Based Residential Treatment FacilityTaxonomy code 320900000X

Legal business name

MARTHE'S HOME BEHAVIORAL HEALTH

Practice address

12339 Jewel Stone LN
Fort Myers, FL 33913-6750

Phone

(305) 523-9475

Fax

(706) 666-0413

NPI assigned

Sep 23, 2024

Organization subpart

No

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

Authorized official

Name

Mrs. Erica PetithommeNPI 1154933273

Title

Manager

Phone

(305) 523-9475

Specialties & licenses 1

Addresses

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Erica Petithomme

  • Personal Care Attendant
  • Cape Coral, FL
  • NPI 1154933273
  NPD Authorized official

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

{
    "created_epoch": "1727049600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1727740800000",
    "number": "1285451237",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4213 BRICKYARD WAY",
            "city": "POWDER SPRINGS",
            "state": "GA",
            "postal_code": "301272506",
            "telephone_number": "305-523-9475",
            "fax_number": "706-666-0413"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "12339 JEWEL STONE LN",
            "city": "FORT MYERS",
            "state": "FL",
            "postal_code": "339136750",
            "telephone_number": "305-523-9475",
            "fax_number": "706-666-0413"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MARTHE'S HOME BEHAVIORAL HEALTH",
        "organizational_subpart": "NO",
        "enumeration_date": "2024-09-23",
        "last_updated": "2024-10-01",
        "certification_date": "2024-10-01",
        "status": "A",
        "authorized_official_last_name": "PETITHOMME",
        "authorized_official_first_name": "ERICA",
        "authorized_official_title_or_position": "MANAGER",
        "authorized_official_telephone_number": "305-523-9475",
        "authorized_official_name_prefix": "Mrs."
    },
    "taxonomies": [
        {
            "code": "320900000X",
            "taxonomy_group": "",
            "desc": "Community Based Residential Treatment Facility, Intellectual and/or Developmental Disabilities",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Virginia Marshall, A.P.R.N.
• Leanne Marston, LCSW
• Solange Marte Estevez, MD
• Alyssa Martens
• Colleen Martens
• Martin Bionics Clinical Care Ft Myers LLC
• Marislay Martin Rivero
• Brian G Martin, DO
• Cecily Cole Martin, M.D.
• Daniel Martin

• Intellectual and/or Developmental Disabilities Community Based Residential Treatment Facility in Fort Myers, FL
• Providers in Fort Myers, FL by specialty
• Intellectual and/or Developmental Disabilities Community Based Residential Treatment Facility in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 1, 2024; 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.