Organization Active NPI

Gastone Mountain SNF LLC

  • Skilled Nursing Facility
  • Stone Mountain, GA
National Provider Identifier
1174008882
Registry record updated Jan 19, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Skilled Nursing FacilityTaxonomy code 314000000X
Legal business name
GASTONE MOUNTAIN SNF LLC
Doing business as
Rosemont At Stone Mountain
Practice address
5160 Springview Ave
Stone Mountain, GA 30083-1616
Phone
(770) 498-4144
NPI assigned
Sep 27, 2018
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jan 19, 2022

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

Authorized official

Name
Mr. Gerald Phillip Stoll
Title
MBR
Phone
(917) 836-0436

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Skilled Nursing Facility 314000000X Primary

Addresses

Primary practice location

5160 Springview Ave
Stone Mountain, GA 30083-1616

Mailing address

78 Birchwood Dr
Huntingtn Sta, NY 11746-3922

Other names 1

  • Rosemont At Stone Mountain Doing business as

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.

NPI Registry JSON

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

{
    "created_epoch": "1538006400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1642550400000",
    "number": "1174008882",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "78 BIRCHWOOD DR",
            "city": "HUNTINGTN STA",
            "state": "NY",
            "postal_code": "117463922"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5160 SPRINGVIEW AVE",
            "city": "STONE MOUNTAIN",
            "state": "GA",
            "postal_code": "300831616",
            "telephone_number": "770-498-4144"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "GASTONE MOUNTAIN SNF LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2018-09-27",
        "last_updated": "2022-01-19",
        "certification_date": "2022-01-19",
        "status": "A",
        "authorized_official_last_name": "STOLL",
        "authorized_official_first_name": "GERALD",
        "authorized_official_middle_name": "PHILLIP",
        "authorized_official_title_or_position": "MBR",
        "authorized_official_telephone_number": "917-836-0436",
        "authorized_official_name_prefix": "Mr."
    },
    "taxonomies": [
        {
            "code": "314000000X",
            "taxonomy_group": "",
            "desc": "Skilled Nursing Facility",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Rosemont At Stone Mountain",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "Rosemont At Stone Mountain",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Stone Mountain, GA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 19, 2022; 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.