NPIMap

Organization Active NPI

Gaston Skills, Inc

  • Developmentally Disabled Services Day Training Agency
  • Lincolnton, NC
National Provider Identifier
1417134354
Registry record updated Jan 23, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
Developmentally Disabled Services Day Training AgencyTaxonomy code 251C00000X
License
MHL-055-012 Issued in NC
Legal business name
GASTON SKILLS, INC
Practice address
1636 Salem Church Rd
Lincolnton, NC 28092-8909
Phone
(704) 732-1516
Fax
(704) 732-0982
NPI assigned
Jan 23, 2008
Last updated
Jan 23, 2008By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jan 23, 2008

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

Authorized official

Name
Mr. David Fogle
Title
Executive Director
Phone
(704) 869-0300

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Developmentally Disabled Services Day Training Agency 251C00000X MHL-055-012 NC Primary

Addresses

Primary practice location

1636 Salem Church Rd
Lincolnton, NC 28092-8909

Mailing address

1301 Bessemer City Rd
Gastonia, NC 28052-1106
Phone (704) 869-0300

Other identifiers 1

IdentifierTypeStateIssuer
3408830MedicaidNC

National Provider Directory

National Provider Directory
Tax ID family
Gaston Skills Incorporated9 organizations share this tax ID, including this one

Other organizations with this tax ID 8

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": "1201046400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1201046400000",
    "number": "1417134354",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1301 BESSEMER CITY RD",
            "city": "GASTONIA",
            "state": "NC",
            "postal_code": "280521106",
            "telephone_number": "704-869-0300",
            "fax_number": "704-869-9594"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1636 SALEM CHURCH RD",
            "city": "LINCOLNTON",
            "state": "NC",
            "postal_code": "280928909",
            "telephone_number": "704-732-1516",
            "fax_number": "704-732-0982"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "GASTON SKILLS, INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2008-01-23",
        "last_updated": "2008-01-23",
        "status": "A",
        "authorized_official_last_name": "FOGLE",
        "authorized_official_first_name": "DAVID",
        "authorized_official_title_or_position": "EXECUTIVE DIRECTOR",
        "authorized_official_telephone_number": "704-869-0300",
        "authorized_official_name_prefix": "Mr."
    },
    "taxonomies": [
        {
            "code": "251C00000X",
            "taxonomy_group": "",
            "desc": "Day Training, Developmentally Disabled Services",
            "state": "NC",
            "license": "MHL-055-012",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "3408830",
            "state": "NC"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Lincolnton, NC

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 23, 2008; 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.