NPIMap

Organization Active NPI

Gaston Residential Services, Inc.

  • Community/Behavioral Health Agency
  • Gastonia, NC
National Provider Identifier
1366507899
Registry record updated Sep 13, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Community/Behavioral Health AgencyTaxonomy code 251S00000X
Legal business name
GASTON RESIDENTIAL SERVICES, INC.
Practice address
905A N New Hope Rd
Gastonia, NC 28054-3354
Phone
(704) 861-9280
Fax
(704) 868-2154
NPI assigned
Dec 26, 2006
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Sep 13, 2021

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

Authorized official

Name
Mr. Thomas G Davis, CPA
Title
Finance Director
Phone
(704) 861-9280

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Community/Behavioral Health Agency 251S00000X Primary
Intellectual and/or Developmental Disabilities Community Based Residential Treatment Facility 320900000X

Addresses

Primary practice location

905A N New Hope Rd
Gastonia, NC 28054-3354

Mailing address

905A N New Hope Rd
Gastonia, NC 28054-3354
Phone (704) 861-9280

Other practice location 1

417 W 10th Ave
Gastonia, NC 28052-7592
Phone (704) 861-9280

Other practice location 2

605 Rosemary Ln
Gastonia, NC 28054-4966
Phone (704) 861-9280

Other practice location 3

1047 Laurel Ln
Gastonia, NC 28054-1519
Phone (704) 861-9280

Other practice location 4

1030 Forestbrook Dr
Gastonia, NC 28056-6611
Phone (704) 861-9280

Other practice location 5

510 W 2nd Ave
Gastonia, NC 28052-3819
Phone (704) 861-9280

Other practice location 6

1009 Fairfield Dr
Gastonia, NC 28054-5118
Phone (704) 861-9280

Other identifiers 6

IdentifierTypeStateIssuer
MHL-036-174OtherNCSECOND AVE. HOME
MHL-036-049OtherNCYORK CHESTER G.H.
MHL-036-051OtherNCFORESTBROOK G.H.
MHL-036-060OtherNCGARDNER PARK G.H.
MHL-036-023OtherNCLAUREL LANE G.H.
MHL-036-239OtherNCFAIRVIEW GROUP HOME

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": "1167091200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1631491200000",
    "number": "1366507899",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "905A N NEW HOPE RD",
            "city": "GASTONIA",
            "state": "NC",
            "postal_code": "280543354",
            "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": "905A N NEW HOPE RD",
            "city": "GASTONIA",
            "state": "NC",
            "postal_code": "280543354",
            "telephone_number": "704-861-9280",
            "fax_number": "704-868-2154"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "417 W 10th Ave",
            "address_purpose": "LOCATION",
            "city": "Gastonia",
            "state": "NC",
            "postal_code": "280527592",
            "country_code": "US",
            "telephone_number": "704-861-9280",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "605 Rosemary Ln",
            "address_purpose": "LOCATION",
            "city": "Gastonia",
            "state": "NC",
            "postal_code": "280544966",
            "country_code": "US",
            "telephone_number": "704-861-9280",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "1047 Laurel Ln",
            "address_purpose": "LOCATION",
            "city": "Gastonia",
            "state": "NC",
            "postal_code": "280541519",
            "country_code": "US",
            "telephone_number": "704-861-9280",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "1030 Forestbrook Dr",
            "address_purpose": "LOCATION",
            "city": "Gastonia",
            "state": "NC",
            "postal_code": "280566611",
            "country_code": "US",
            "telephone_number": "704-861-9280",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "510 W 2nd Ave",
            "address_purpose": "LOCATION",
            "city": "Gastonia",
            "state": "NC",
            "postal_code": "280523819",
            "country_code": "US",
            "telephone_number": "704-861-9280",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "1009 Fairfield Dr",
            "address_purpose": "LOCATION",
            "city": "Gastonia",
            "state": "NC",
            "postal_code": "280545118",
            "country_code": "US",
            "telephone_number": "704-861-9280",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "organization_name": "GASTON RESIDENTIAL SERVICES, INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-12-26",
        "last_updated": "2021-09-13",
        "certification_date": "2021-09-13",
        "status": "A",
        "authorized_official_last_name": "DAVIS",
        "authorized_official_first_name": "THOMAS",
        "authorized_official_middle_name": "G",
        "authorized_official_title_or_position": "FINANCE DIRECTOR",
        "authorized_official_telephone_number": "704-861-9280",
        "authorized_official_name_prefix": "Mr.",
        "authorized_official_credential": "CPA"
    },
    "taxonomies": [
        {
            "code": "251S00000X",
            "taxonomy_group": "",
            "desc": "Community/Behavioral Health",
            "state": null,
            "license": null,
            "primary": true
        },
        {
            "code": "320900000X",
            "taxonomy_group": "",
            "desc": "Community Based Residential Treatment Facility, Intellectual and/or Developmental Disabilities",
            "state": null,
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "SECOND AVE. HOME",
            "identifier": "MHL-036-174",
            "state": "NC"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "YORK CHESTER G.H.",
            "identifier": "MHL-036-049",
            "state": "NC"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "FORESTBROOK G.H.",
            "identifier": "MHL-036-051",
            "state": "NC"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "GARDNER PARK G.H.",
            "identifier": "MHL-036-060",
            "state": "NC"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "LAUREL LANE G.H.",
            "identifier": "MHL-036-023",
            "state": "NC"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "FAIRVIEW GROUP HOME",
            "identifier": "MHL-036-239",
            "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 Sep 13, 2021; 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.