Gahc3 Huntersville NC TRS Sub, LLC

Primary specialty

Custodial Care FacilityTaxonomy code 311Z00000X

Legal business name

GAHC3 HUNTERSVILLE NC TRS SUB, LLC

Practice address

250 Commerce Centre Dr
Huntersville, NC 28078-5438

Phone

(704) 875-6100

Fax

(704) 875-6111

NPI assigned

Sep 26, 2019

Organization subpart

No

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

Authorized official

Name

Danny Prosky

Title

President

Phone

(949) 270-9200

Specialties & licenses 2

Addresses

Other names 1

• Cadence Huntersville Doing business as

These CMS records do not include an NPI. They are shown because their name and street address match this provider’s.

CLIA laboratory certificates

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

{
    "created_epoch": "1569456000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1572393600000",
    "number": "1811548258",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "18191 VON KARMAN AVE STE 300",
            "city": "IRVINE",
            "state": "CA",
            "postal_code": "926127106",
            "telephone_number": "949-270-9200",
            "fax_number": "949-474-0442"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "250 COMMERCE CENTRE DR",
            "city": "HUNTERSVILLE",
            "state": "NC",
            "postal_code": "280785438",
            "telephone_number": "704-875-6100",
            "fax_number": "704-875-6111"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "GAHC3 HUNTERSVILLE NC TRS SUB, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2019-09-26",
        "last_updated": "2019-10-30",
        "status": "A",
        "authorized_official_last_name": "PROSKY",
        "authorized_official_first_name": "DANNY",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "949-270-9200"
    },
    "taxonomies": [
        {
            "code": "311Z00000X",
            "taxonomy_group": "",
            "desc": "Custodial Care Facility",
            "state": null,
            "license": null,
            "primary": true
        },
        {
            "code": "311ZA0620X",
            "taxonomy_group": "",
            "desc": "Custodial Care Facility, Adult Care Home",
            "state": null,
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Cadence Huntersville",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "Cadence Huntersville",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Kytaina Gabriel, LCSWA
• Marcus Jamar Gaddy, MSW LCSWA
• Thanveer Reddy Gadwal, PHARMD
• Kyara Gage
• Sonal Gagrani, MD
• Kristin Whitely Gaines, MD
• Star-Shea Gaines
• Stormi Gale, CPP
• Destiny Astaria Gamblin, RBT
• Ganglani DMD PLLC

• Custodial Care Facility in Huntersville, NC
• Providers in Huntersville, NC by specialty
• Custodial Care Facility in North Carolina

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 30, 2019; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.