NPIMap

Organization Active NPI

Gaston Manor

  • Assisted Living Facility
  • Gastonia, NC
National Provider Identifier
1477873370
Registry record updated Jun 3, 2010
On this page

Key facts

NPPES NPI Registry
Primary specialty
Assisted Living FacilityTaxonomy code 310400000X
Legal business name
GASTON MANOR
Practice address
1717 Union Rd
Gastonia, NC 28054-5583
Phone
(704) 864-9440
Fax
(704) 864-1935
NPI assigned
Jun 3, 2010
Last updated
Jun 3, 2010By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jun 3, 2010

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

Authorized official

Name
Paula Glover
Title
Area Director
Phone
(704) 864-9440

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Assisted Living Facility 310400000X NU Primary

Addresses

Primary practice location

1717 Union Rd
Gastonia, NC 28054-5583

Mailing address

1717 Union Rd
Gastonia, NC 28054-5583
Phone (704) 864-9440

National Provider Directory

National Provider Directory
Tax ID family
Abingdon Place42 organizations share this tax ID, including this one

Other organizations with this tax ID 41

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

View all 41

NPI Registry JSON

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

{
    "created_epoch": "1275523200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1275523200000",
    "number": "1477873370",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1717 UNION RD",
            "city": "GASTONIA",
            "state": "NC",
            "postal_code": "280545583",
            "telephone_number": "704-864-9440",
            "fax_number": "704-864-1935"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1717 UNION RD",
            "city": "GASTONIA",
            "state": "NC",
            "postal_code": "280545583",
            "telephone_number": "704-864-9440",
            "fax_number": "704-864-1935"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "GASTON MANOR",
        "organizational_subpart": "NO",
        "enumeration_date": "2010-06-03",
        "last_updated": "2010-06-03",
        "status": "A",
        "authorized_official_last_name": "GLOVER",
        "authorized_official_first_name": "PAULA",
        "authorized_official_title_or_position": "AREA DIRECTOR",
        "authorized_official_telephone_number": "704-864-9440"
    },
    "taxonomies": [
        {
            "code": "310400000X",
            "taxonomy_group": "",
            "desc": "Assisted Living Facility",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "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 Jun 3, 2010; 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.