Organization Active NPI

Haven of Rest Mental Health Services, Inc.

  • Community/Behavioral Health Agency
  • Gastonia, NC
National Provider Identifier
1174711899
Registry record updated Oct 9, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
Community/Behavioral Health AgencyTaxonomy code 251S00000X
Legal business name
HAVEN OF REST MENTAL HEALTH SERVICES, INC.
Practice address
1010 Linwood Rd
Gastonia, NC 28052-5110
Phone
(980) 329-5119
NPI assigned
Oct 9, 2007
Last updated
Oct 9, 2007By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Oct 9, 2007

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

Authorized official

Name
Mr. James Burris
Title
Director of Operations
Phone
(803) 222-0407

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Community/Behavioral Health Agency 251S00000X NC Primary

Addresses

Primary practice location

1010 Linwood Rd
Gastonia, NC 28052-5110

Mailing address

418 Mooseberry LN
Gastonia, NC 28052-4632

National Provider Directory

National Provider Directory

Locations

1010 Linwood Rd
Gastonia, NC 28052
Phone (980) 329-5119

NPI Registry JSON

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

{
    "created_epoch": "1191888000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1191888000000",
    "number": "1174711899",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "418 MOOSEBERRY LN",
            "city": "GASTONIA",
            "state": "NC",
            "postal_code": "280524632"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1010 LINWOOD RD",
            "city": "GASTONIA",
            "state": "NC",
            "postal_code": "280525110",
            "telephone_number": "980-329-5119"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "HAVEN OF REST MENTAL HEALTH SERVICES, INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-10-09",
        "last_updated": "2007-10-09",
        "status": "A",
        "authorized_official_last_name": "BURRIS",
        "authorized_official_first_name": "JAMES",
        "authorized_official_title_or_position": "DIRECTOR OF OPERATIONS",
        "authorized_official_telephone_number": "803-222-0407",
        "authorized_official_name_prefix": "Mr."
    },
    "taxonomies": [
        {
            "code": "251S00000X",
            "taxonomy_group": "",
            "desc": "Community/Behavioral Health",
            "state": "NC",
            "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 Oct 9, 2007; 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.