NPIMap

Organization Active NPI

Gaston Hospice

  • Counselor
  • Gastonia, NC
National Provider Identifier
1184647638
Registry record updated Aug 22, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
CounselorTaxonomy code 101Y00000X
License
HC0812 Issued in NC
Legal business name
GASTON HOSPICE
Practice address
258 E Garrison Blvd
Water Tower Place
Gastonia, NC 28054-0460
Phone
(704) 861-8405
Fax
(704) 865-0590
NPI assigned
Jul 25, 2006
Last updated
Aug 22, 2020By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 22, 2020

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

Authorized official

Name
Mrs. Leona T Bucci, RN, MS, CNA
Title
Executive Director
Phone
(704) 861-8405

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Counselor 101Y00000X HC0812 NC Primary

Addresses

Primary practice location

258 E Garrison Blvd
Water Tower Place
Gastonia, NC 28054-0460

Mailing address

PO Box 3984
Gastonia, NC 28054-0020
Phone (704) 861-8405

Other identifiers 2

IdentifierTypeStateIssuer
0258GOtherNCBLUE CROSS BLUE SHIELD
6005064MedicaidNC

Other names 1

  • New Hope Counseling Other name

National Provider Directory

National Provider Directory

Practitioners & affiliated clinicians

Practitioners 6

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": "1153785600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1184647638",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 3984",
            "city": "GASTONIA",
            "state": "NC",
            "postal_code": "280540020",
            "telephone_number": "704-861-8405",
            "fax_number": "704-865-0590"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "258 E GARRISON BLVD",
            "address_2": "WATER TOWER PLACE",
            "city": "GASTONIA",
            "state": "NC",
            "postal_code": "280540460",
            "telephone_number": "704-861-8405",
            "fax_number": "704-865-0590"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "GASTON HOSPICE",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-07-25",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "BUCCI",
        "authorized_official_first_name": "LEONA",
        "authorized_official_middle_name": "T",
        "authorized_official_title_or_position": "EXECUTIVE DIRECTOR",
        "authorized_official_telephone_number": "704-861-8405",
        "authorized_official_name_prefix": "Mrs.",
        "authorized_official_credential": "RN, MS, CNA"
    },
    "taxonomies": [
        {
            "code": "101Y00000X",
            "taxonomy_group": "",
            "desc": "Counselor",
            "state": "NC",
            "license": "HC0812",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BLUE CROSS BLUE SHIELD",
            "identifier": "0258G",
            "state": "NC"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "6005064",
            "state": "NC"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "New Hope Counseling",
            "code": "5",
            "type": "Other Name"
        }
    ]
}

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 Aug 22, 2020; 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.