Active NPI
Prime Generation
- Emotionally Disturbed Childrens' Residential Treatment Facility
- Gastonia, NC
National Provider Identifier
1407773401
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Emotionally Disturbed Childrens' Residential Treatment Facility
- Legal business name
- PRIME GENERATION
- Practice address
- 2642 Forbes Rd
Gastonia, NC 28056-5206 - Phone
- (704) 516-7190
- Fax
- (704) 516-7190
- NPI assigned
- Jul 1, 2026
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Mr. Stephen Washington, WASHINGTON
- Title
- Program Director
- Phone
- (704) 516-7190
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Emotionally Disturbed Childrens' Residential Treatment Facility | 322D00000X | Primary |
Addresses
Primary practice location
2642 Forbes Rd
Gastonia, NC 28056-5206
Mailing address
10540 English Setter Way
Charlotte, NC 28269-1356
Phone (704) 516-7190
National Provider Directory
National Provider DirectoryNPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1782864000000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1782864000000",
"number": "1407773401",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "10540 ENGLISH SETTER WAY",
"city": "CHARLOTTE",
"state": "NC",
"postal_code": "282691356",
"telephone_number": "704-516-7190",
"fax_number": "704-516-7190"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "2642 FORBES RD",
"city": "GASTONIA",
"state": "NC",
"postal_code": "280565206",
"telephone_number": "704-516-7190",
"fax_number": "704-516-7190"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "PRIME GENERATION",
"organizational_subpart": "NO",
"enumeration_date": "2026-07-01",
"last_updated": "2026-07-01",
"certification_date": "2026-07-01",
"status": "A",
"authorized_official_last_name": "WASHINGTON",
"authorized_official_first_name": "STEPHEN",
"authorized_official_title_or_position": "PROGRAM DIRECTOR",
"authorized_official_telephone_number": "704-516-7190",
"authorized_official_name_prefix": "Mr.",
"authorized_official_credential": "WASHINGTON"
},
"taxonomies": [
{
"code": "322D00000X",
"taxonomy_group": "",
"desc": "Residential Treatment Facility, Emotionally Disturbed Children",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Gastonia, NC
- Christina Sharita Pride, MSW, LCSWA
- Darren Eugene Pride, PTA
- Primary Health Concepts (Home Health Professionals)
- Primary Health Concepts (Home Heatlh Professionals)
- Primary Health Concepts, Inc. (Home Health Professionals)
- Mary Rebekah Prins, LCSWA
- Tanine Leletti Prior, MSW, LCSWA
- Priority Healthcare Services
- Priphemma Homecare LLC
- Pamela Jean Burshop Pritchett, FNP-C
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 1, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.