Organization Active NPI

Aspired Residential Rehabilitation Group

  • Emotionally Disturbed Childrens' Residential Treatment Facility
  • Gastonia, NC
National Provider Identifier
1609349430
Registry record updated Jan 4, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
Emotionally Disturbed Childrens' Residential Treatment FacilityTaxonomy code 322D00000X
Legal business name
ASPIRED RESIDENTIAL REHABILITATION GROUP
Practice address
1714 Aster LN
Gastonia, NC 28054-8303
Phone
(984) 221-1140
Fax
(803) 630-0376
NPI assigned
Jan 4, 2019
Last updated
Jan 4, 2019By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jan 4, 2019

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

Authorized official

Name
Gervonia Robinsion
Title
Ceo
Phone
(984) 221-1140

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Emotionally Disturbed Childrens' Residential Treatment Facility 322D00000X Primary

Addresses

Primary practice location

1714 Aster LN
Gastonia, NC 28054-8303

Mailing address

13906 Ballantyne Meadows Dr
Charlotte, NC 28277-3727
Phone (984) 221-1140

National Provider Directory

National Provider Directory

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

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

{
    "created_epoch": "1546560000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1546560000000",
    "number": "1609349430",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "13906 BALLANTYNE MEADOWS DR",
            "city": "CHARLOTTE",
            "state": "NC",
            "postal_code": "282773727",
            "telephone_number": "984-221-1140"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1714 ASTER LN",
            "city": "GASTONIA",
            "state": "NC",
            "postal_code": "280548303",
            "telephone_number": "984-221-1140",
            "fax_number": "803-630-0376"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ASPIRED RESIDENTIAL REHABILITATION GROUP",
        "organizational_subpart": "NO",
        "enumeration_date": "2019-01-04",
        "last_updated": "2019-01-04",
        "status": "A",
        "authorized_official_last_name": "ROBINSION",
        "authorized_official_first_name": "GERVONIA",
        "authorized_official_title_or_position": "CEO",
        "authorized_official_telephone_number": "984-221-1140"
    },
    "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

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 4, 2019; 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.