Organization Active NPI

Cape Fear Group Homes, Inc.

  • Community/Behavioral Health Agency
  • Wilmington, NC
National Provider Identifier
1386037505
Registry record updated Jan 14, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Community/Behavioral Health AgencyTaxonomy code 251S00000X
Legal business name
CAPE FEAR GROUP HOMES, INC.
Practice address
102 Old Eastwood Rd Unit D2-9
Wilmington, NC 28403-0500
Phone
(910) 251-5555
Fax
(910) 251-0590
NPI assigned
Mar 12, 2015
Last updated
Jan 14, 2022By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jan 14, 2022

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

Authorized official

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Intellectual Disabilities Intermediate Care Facility 315P00000X
Community/Behavioral Health Agency 251S00000X Primary

Addresses

Primary practice location

102 Old Eastwood Rd Unit D2-9
Wilmington, NC 28403-0500

Mailing address

PO Box 4203
Wilmington, NC 28406-1203
Phone (910) 251-2555

Other names 1

  • Supported Employment Alamance Other name

National Provider Directory

National Provider Directory
Tax ID family
Robin Hood Group Home7 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

102 Old Eastwood Rd
Unit D29
Wilmington, NC 28403
Phone (910) 251-5555

1504 N Kerr Ave
Wilmington, NC 28405

NPI Registry JSON

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

{
    "created_epoch": "1426118400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1642118400000",
    "number": "1386037505",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 4203",
            "city": "WILMINGTON",
            "state": "NC",
            "postal_code": "284061203",
            "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": "102 OLD EASTWOOD RD UNIT D2-9",
            "city": "WILMINGTON",
            "state": "NC",
            "postal_code": "284030500",
            "telephone_number": "910-251-5555",
            "fax_number": "910-251-0590"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CAPE FEAR GROUP HOMES, INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2015-03-12",
        "last_updated": "2022-01-14",
        "certification_date": "2022-01-14",
        "status": "A",
        "authorized_official_last_name": "WALSH",
        "authorized_official_first_name": "ED",
        "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": null,
            "license": null,
            "primary": false
        },
        {
            "code": "251S00000X",
            "taxonomy_group": "",
            "desc": "Community/Behavioral Health",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Supported Employment Alamance",
            "code": "5",
            "type": "Other Name"
        }
    ]
}

Other providers in Wilmington, NC

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 14, 2022; 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.