Organization Active NPI

S Martin LLC

  • Emotionally Disturbed Childrens' Residential Treatment Facility
  • Durham, NC
National Provider Identifier
1821261389
Registry record updated Apr 5, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
Emotionally Disturbed Childrens' Residential Treatment FacilityTaxonomy code 322D00000X
Legal business name
S MARTIN LLC
Practice address
2 Isaacs Way
Durham, NC 27713-3465
Phone
(919) 688-1830
NPI assigned
Apr 5, 2008
Last updated
Apr 5, 2008By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Apr 5, 2008

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

Authorized official

Name
Shannon Martin
Title
Owner
Phone
(919) 201-1626

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Emotionally Disturbed Childrens' Residential Treatment Facility 322D00000X NC Primary

Addresses

Primary practice location

2 Isaacs Way
Durham, NC 27713-3465

Mailing address

209 Kindlewood Dr
Durham, NC 27703-6612
Phone (919) 201-1626

Other names 1

  • Inner Wealth Residential Other name

National Provider Directory

National Provider Directory

NPI Registry JSON

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

{
    "created_epoch": "1207353600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1207353600000",
    "number": "1821261389",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "209 KINDLEWOOD DR",
            "city": "DURHAM",
            "state": "NC",
            "postal_code": "277036612",
            "telephone_number": "919-201-1626",
            "fax_number": "919-794-4781"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2 ISAACS WAY",
            "city": "DURHAM",
            "state": "NC",
            "postal_code": "277133465",
            "telephone_number": "919-688-1830"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "S MARTIN LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2008-04-05",
        "last_updated": "2008-04-05",
        "status": "A",
        "authorized_official_last_name": "MARTIN",
        "authorized_official_first_name": "SHANNON",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "919-201-1626"
    },
    "taxonomies": [
        {
            "code": "322D00000X",
            "taxonomy_group": "",
            "desc": "Residential Treatment Facility, Emotionally Disturbed Children",
            "state": "NC",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Inner Wealth Residential",
            "code": "5",
            "type": "Other Name"
        }
    ]
}

Other providers in Durham, NC

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 5, 2008; 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.