St.Marysgrouphomesinc.

Primary specialty

Assisted Living Facility (Mental Illness)Taxonomy code 3104A0625X

License

MHL-096-172 Issued in NC

Legal business name

ST.MARYSGROUPHOMESINC.

Practice address

1071 Pemberton Hill Rd
Apex, NC 27502-4268

Phone

(919) 363-1462

Fax

(919) 367-9474

NPI assigned

Jan 22, 2007

Organization subpart

No

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

Authorized official

Name

Jumoka Ayaana Murray

Title

Facilty Director

Phone

(919) 363-1462

Specialties & licenses 1

Addresses

Other identifiers 1

Locations

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

{
    "created_epoch": "1169424000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1992858872",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1071 PEMBERTON HILL RD",
            "city": "APEX",
            "state": "NC",
            "postal_code": "275024268",
            "telephone_number": "919-363-1462",
            "fax_number": "919-367-9474"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1071 PEMBERTON HILL RD",
            "city": "APEX",
            "state": "NC",
            "postal_code": "275024268",
            "telephone_number": "919-363-1462",
            "fax_number": "919-367-9474"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ST.MARYSGROUPHOMESINC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-01-22",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "MURRAY",
        "authorized_official_first_name": "JUMOKA",
        "authorized_official_middle_name": "AYAANA",
        "authorized_official_title_or_position": "FACILTY DIRECTOR",
        "authorized_official_telephone_number": "919-363-1462"
    },
    "taxonomies": [
        {
            "code": "3104A0625X",
            "taxonomy_group": "",
            "desc": "Assisted Living Facility, Assisted Living, Mental Illness",
            "state": "NC",
            "license": "MHL-096-172",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "7805652",
            "state": "NC"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Claude H Springfield IV, M.D.
• Yamini Sribhashyam
• Srinivas DMD & Associates PLLC
• St. Mary'S Home Care Services Inc
• St. Mary'S Home Care Services, Inc
• Sam Stalter, LCSWA
• Stanley G Rogers, DDS
• John Stanton
• Jamie Lee Stashko, PSY.D.
• Rachel Stechmann

• Assisted Living Facility (Mental Illness) in Apex, NC
• Providers in Apex, NC by specialty
• Assisted Living Facility (Mental Illness) in North Carolina

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 22, 2020; 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.