NPIMap

Organization Active NPI

Gaston Residential Services, Inc.

  • Community/Behavioral Health Agency
  • Gastonia, NC
National Provider Identifier
1235327099
Registry record updated Oct 5, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
Community/Behavioral Health AgencyTaxonomy code 251S00000X
License
MHL-036-023 Issued in NC
Legal business name
GASTON RESIDENTIAL SERVICES, INC.
Practice address
905 N New Hope Rd Ste a
Gastonia, NC 28054-3373
Phone
(704) 861-9280
Fax
(704) 868-2154
NPI assigned
Oct 5, 2007
Last updated
Oct 5, 2007By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Oct 5, 2007

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

Authorized official

Name
Ms. Lynette Graslie Demperio
Title
Finance Director/Vice President
Phone
(704) 861-9280

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Community/Behavioral Health Agency 251S00000X MHL-036-023 NC Primary

Addresses

Primary practice location

905 N New Hope Rd Ste a
Gastonia, NC 28054-3373

Mailing address

905 N New Hope Rd Ste a
Gastonia, NC 28054-3373
Phone (704) 861-9280

Other identifiers 1

IdentifierTypeStateIssuer
MHL-036-023OtherNCSTATE OF NORTH CAROLINA

National Provider Directory

National Provider Directory
Tax ID family
Gaston Residential Services Inc10 organizations share this tax ID, including this one

Other organizations with this tax ID 9

Organizations that report the same tax identification number in the National Provider Directory.

NPI Registry JSON

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

{
    "created_epoch": "1191542400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1191542400000",
    "number": "1235327099",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "905 N NEW HOPE RD STE A",
            "city": "GASTONIA",
            "state": "NC",
            "postal_code": "280543373",
            "telephone_number": "704-861-9280",
            "fax_number": "704-868-2154"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "905 N NEW HOPE RD STE A",
            "city": "GASTONIA",
            "state": "NC",
            "postal_code": "280543373",
            "telephone_number": "704-861-9280",
            "fax_number": "704-868-2154"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "GASTON RESIDENTIAL SERVICES, INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-10-05",
        "last_updated": "2007-10-05",
        "status": "A",
        "authorized_official_last_name": "DEMPERIO",
        "authorized_official_first_name": "LYNETTE",
        "authorized_official_middle_name": "GRASLIE",
        "authorized_official_title_or_position": "FINANCE DIRECTOR/VICE PRESIDENT",
        "authorized_official_telephone_number": "704-861-9280",
        "authorized_official_name_prefix": "Ms."
    },
    "taxonomies": [
        {
            "code": "251S00000X",
            "taxonomy_group": "",
            "desc": "Community/Behavioral Health",
            "state": "NC",
            "license": "MHL-036-023",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "STATE OF NORTH CAROLINA",
            "identifier": "MHL-036-023",
            "state": "NC"
        }
    ],
    "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 5, 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.