NPIMap

Organization Active NPI

Cape Fear Group Homes, Inc.

  • Intellectual Disabilities Intermediate Care Facility
  • Wilmington, NC
National Provider Identifier
1598847550
Registry record updated Mar 4, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Intellectual Disabilities Intermediate Care FacilityTaxonomy code 315P00000X
Legal business name
CAPE FEAR GROUP HOMES, INC.
Practice address
1519 Robert E Lee Dr
Wilmington, NC 28412-7180
Phone
(910) 251-2555
Fax
(910) 251-0590
NPI assigned
Oct 19, 2006
Last updated
Mar 4, 2021By the provider in NPPES
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 M Walsh
Title
Executive Director
Phone
(910) 251-2555

Specialties & licenses 1

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

Addresses

Primary practice location

1519 Robert E Lee Dr
Wilmington, NC 28412-7180

Mailing address

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

Other identifiers 2

IdentifierTypeStateIssuer
340602NMedicaidNC
340602AMedicaidNC

Laboratory certificates & supplier records

Derived by NPIMap

These CMS records do not include an NPI. They are shown because their name and street address match this provider’s.

CLIA laboratory certificates

CLIA numberLaboratoryCertificateExpires
34D2102803Cape Fear Group Homes1519 Robert E Lee Drive, Wilmington, NC 28412Certificate of waiverSep 28, 2027

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

1519 Robert E Lee Dr
Wilmington, NC 28412
Phone (910) 251-2555

NPI Registry JSON

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

{
    "created_epoch": "1161216000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1614816000000",
    "number": "1598847550",
    "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": "1519 ROBERT E LEE DR",
            "city": "WILMINGTON",
            "state": "NC",
            "postal_code": "284127180",
            "telephone_number": "910-251-2555",
            "fax_number": "910-251-0590"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CAPE FEAR GROUP HOMES, INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-10-19",
        "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": "M",
        "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": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "340602N",
            "state": "NC"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "340602A",
            "state": "NC"
        }
    ],
    "endpoints": [],
    "other_names": []
}

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 Mar 4, 2021; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.