Organization Active NPI

Care 4 Youth Family Residential Services LLC

  • Mental Illness Community Based Residential Treatment Facility
  • Gastonia, NC
National Provider Identifier
1063235919
Registry record updated Sep 11, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Mental Illness Community Based Residential Treatment FacilityTaxonomy code 320800000X
Legal business name
CARE 4 YOUTH FAMILY RESIDENTIAL SERVICES LLC
Practice address
1616 Neal Hawkins Rd
Gastonia, NC 28056-6429
Phone
(704) 685-8051
NPI assigned
Nov 7, 2024
Last updated
Sep 11, 2025By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Sep 11, 2025

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

Authorized official

Name
Shalimar RoseNPI 1194542159
Title
Owner-Ceo
Phone
(704) 685-8051

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Mental Illness Community Based Residential Treatment Facility 320800000X Primary

Addresses

Primary practice location

1616 Neal Hawkins Rd
Gastonia, NC 28056-6429

Mailing address

1072 Joselynn Dr
Gastonia, NC 28054-0035

National Provider Directory

National Provider Directory

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

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

{
    "created_epoch": "1730937600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1757548800000",
    "number": "1063235919",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1072 JOSELYNN DR",
            "city": "GASTONIA",
            "state": "NC",
            "postal_code": "280540035"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1616 NEAL HAWKINS RD",
            "city": "GASTONIA",
            "state": "NC",
            "postal_code": "280566429",
            "telephone_number": "704-685-8051"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CARE 4 YOUTH FAMILY RESIDENTIAL SERVICES LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2024-11-07",
        "last_updated": "2025-09-11",
        "certification_date": "2025-08-25",
        "status": "A",
        "authorized_official_last_name": "ROSE",
        "authorized_official_first_name": "SHALIMAR",
        "authorized_official_title_or_position": "OWNER-CEO",
        "authorized_official_telephone_number": "704-685-8051"
    },
    "taxonomies": [
        {
            "code": "320800000X",
            "taxonomy_group": "",
            "desc": "Community Based Residential Treatment Facility, Mental Illness",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Gastonia, NC

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 11, 2025; 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.