=====================================================
General NPI Number Information
=====================================================
NPI Number | 1164338182
-----------------------------------------------------
Entity Type | Organization
-----------------------------------------------------
Legal Business Name | MARTIN IN HOME CARE, LLC
-----------------------------------------------------
=====================================================
Dates
=====================================================
Enumeration Date | 08/20/2026
-----------------------------------------------------
Last Update Date | 08/20/2026
-----------------------------------------------------
=====================================================
Provider Practice Location Address
=====================================================
Address Line | 5361 JACK SPRINGS RD
-----------------------------------------------------
City | ATMORE
-----------------------------------------------------
State | AL
-----------------------------------------------------
Zip | 36502-5073
-----------------------------------------------------
Country | US
-----------------------------------------------------
Telephone | 251-368-8910
-----------------------------------------------------
Fax |
-----------------------------------------------------
=====================================================
Provider Business Mailing Address
=====================================================
Address Line | PO BOX 26
-----------------------------------------------------
City | ATMORE
-----------------------------------------------------
State | AL
-----------------------------------------------------
Zip | 36504-0026
-----------------------------------------------------
Country | US
-----------------------------------------------------
Telephone | 251-368-8910
-----------------------------------------------------
Fax |
-----------------------------------------------------
=====================================================
Authorized Official
=====================================================
Title or Position | OWNER/CEO
-----------------------------------------------------
Name | MR. JONATHAN LAMAR MARTIN
-----------------------------------------------------
Credential |
-----------------------------------------------------
Telephone | 251-368-8910
-----------------------------------------------------
=====================================================
Scope of Practice (Provider's specialty)
=====================================================
Taxonomy #1
-----------------------------------------------------
Taxonomy Code | 253Z00000X
-----------------------------------------------------
Taxonomy Name | In Home Supportive Care Agency
-----------------------------------------------------
License Number |
-----------------------------------------------------
License Number State |
-----------------------------------------------------