NPIMap

Organization Active NPI

Gaston Residential Services, Inc.

  • Community/Behavioral Health Agency
  • Gastonia, NC
National Provider Identifier
1376609289
Registry record updated Aug 22, 2020
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 28, 2006
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
Ms. Rita B. Thuot
Title
Executive Director
Phone
(704) 861-9280

Specialties & licenses 1

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

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 identifiers 2

IdentifierTypeStateIssuer
7804622MedicaidNC
7802582MedicaidNC

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": "1167264000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1376609289",
    "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": [],
    "basic": {
        "organization_name": "GASTON RESIDENTIAL SERVICES, INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-12-28",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "THUOT",
        "authorized_official_first_name": "RITA",
        "authorized_official_middle_name": "B.",
        "authorized_official_title_or_position": "EXECUTIVE DIRECTOR",
        "authorized_official_telephone_number": "704-861-9280",
        "authorized_official_name_prefix": "Ms."
    },
    "taxonomies": [
        {
            "code": "251S00000X",
            "taxonomy_group": "",
            "desc": "Community/Behavioral Health",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "7804622",
            "state": "NC"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "7802582",
            "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 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.