Gaylain'S House of Hope

Primary specialty

Mental Illness Community Based Residential Treatment FacilityTaxonomy code 320800000X

Legal business name

GAYLAIN'S HOUSE OF HOPE

Practice address

322 McBee Strret
Lincolnton, NC 28092-2818

Phone

(047) 240-9453

Fax

(704) 360-2544

NPI assigned

Mar 10, 2015

Organization subpart

No

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

Authorized official

Name

Kevin Oliver, LCAS

Title

Ceo

Phone

(704) 491-0829

Specialties & licenses 2

Addresses

Other identifiers 1

Locations

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

{
    "created_epoch": "1425945600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1532044800000",
    "number": "1104219567",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "322 MCBEE ST",
            "city": "LINCOLNTON",
            "state": "NC",
            "postal_code": "280922819",
            "telephone_number": "704-240-9453",
            "fax_number": "704-240-9431"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "322 MCBEE STRRET",
            "city": "LINCOLNTON",
            "state": "NC",
            "postal_code": "280922818",
            "telephone_number": "047-240-9453",
            "fax_number": "704-360-2544"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "GAYLAIN'S HOUSE OF HOPE",
        "organizational_subpart": "NO",
        "enumeration_date": "2015-03-10",
        "last_updated": "2018-07-20",
        "status": "A",
        "authorized_official_last_name": "OLIVER",
        "authorized_official_first_name": "KEVIN",
        "authorized_official_title_or_position": "CEO",
        "authorized_official_telephone_number": "704-491-0829",
        "authorized_official_credential": "LCAS"
    },
    "taxonomies": [
        {
            "code": "320800000X",
            "taxonomy_group": "",
            "desc": "Community Based Residential Treatment Facility, Mental Illness",
            "state": null,
            "license": null,
            "primary": true
        },
        {
            "code": "324500000X",
            "taxonomy_group": "",
            "desc": "Substance Abuse Rehabilitation Facility",
            "state": "NC",
            "license": "MHL-055-121",
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "DHSR",
            "identifier": "MHL-055-121",
            "state": "NC"
        }
    ],
    "endpoints": [],
    "other_names": []
}

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• Mental Illness Community Based Residential Treatment Facility in Lincolnton, NC
• Providers in Lincolnton, NC by specialty
• Mental Illness Community Based Residential Treatment Facility in North Carolina

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 20, 2018; 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.