Hospice of Gaston County, Inc

Primary specialty

Community Based Hospice Care AgencyTaxonomy code 251G00000X

License

HC0812 Issued in NC

Legal business name

HOSPICE OF GASTON COUNTY, INC

Doing business as

Gaston Hospice

Practice address

258 E Garrison Blvd
Water Tower Place
Gastonia, NC 28054-0460

Phone

(704) 861-8405

Fax

(704) 865-0590

NPI assigned

Jul 20, 2005

Organization subpart

No

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

Authorized official

Name

Mrs. Leona T Bucci, RN, MS, CNA

Title

Executive Director

Phone

(704) 861-8405

Specialties & licenses 1

Addresses

Other identifiers 2

Other names 1

• Gaston Hospice Doing business as

Medicare fee-for-service enrollment

Enrolled in NC

Enrollment records 1

Locations

Change-of-ownership history 1

Change of ownership 1

Medicare changes of ownership in which this facility was the buyer or the seller.

• Caromont Serious Illness Partners, LLC

  • Community Based Hospice Care Agency
  • Gastonia, NC
  • NPI 1780419523

  Sold to, 2024-10-01

  CMS change of ownership

Practitioners 8

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.

• Pamela Lowry Burr, NP-C

  • Nurse Practitioner
  • Shelby, NC
  • NPI 1639227978
  Medicare reassignment NPD
• Leanne Rutledge King, FNP

  • Family Nurse Practitioner
  • Newton, NC
  • NPI 1437570504

  Family Medicine

  Medicare reassignment NPD
• Nora Davis Paysour, FNP-C

  • Family Nurse Practitioner
  • Gastonia, NC
  • NPI 1023343621
  Medicare reassignment NPD
• Chemarra Bryant, MA, LPC

  • Professional Counselor
  • Gastonia, NC
  • NPI 1720317969
  NPD (past)
• Debra H. Harrill, MSW, LCSW

  • Clinical Social Worker
  • Forest City, NC
  • NPI 1154656247
  NPD (past)
• Jacquelyn M Leak-Gillispie, NP-C

  • Adult Health Nurse Practitioner
  • Concord, NC
  • NPI 1831255330
  NPD (past)
• Michelle Marie Norton, M.A., LPC

  • Mental Health Counselor
  • Gastonia, NC
  • NPI 1962843094
  NPD (past)
• Teresa Childres Ray, MA, NCC, LPC

  • Professional Counselor
  • Gastonia, NC
  • NPI 1215914742
  NPD (past)

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

{
    "created_epoch": "1121817600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1292371200000",
    "number": "1821097916",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 3984",
            "city": "GASTONIA",
            "state": "NC",
            "postal_code": "280540460",
            "telephone_number": "704-861-8405",
            "fax_number": "704-865-0590"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "258 E GARRISON BLVD",
            "address_2": "WATER TOWER PLACE",
            "city": "GASTONIA",
            "state": "NC",
            "postal_code": "280540460",
            "telephone_number": "704-861-8405",
            "fax_number": "704-865-0590"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "HOSPICE OF GASTON COUNTY, INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2005-07-20",
        "last_updated": "2010-12-15",
        "status": "A",
        "authorized_official_last_name": "BUCCI",
        "authorized_official_first_name": "LEONA",
        "authorized_official_middle_name": "T",
        "authorized_official_title_or_position": "EXECUTIVE DIRECTOR",
        "authorized_official_telephone_number": "704-861-8405",
        "authorized_official_name_prefix": "Mrs.",
        "authorized_official_credential": "RN, MS, CNA"
    },
    "taxonomies": [
        {
            "code": "251G00000X",
            "taxonomy_group": "",
            "desc": "Hospice Care, Community Based",
            "state": "NC",
            "license": "HC0812",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BLUE CROSS BLUE SHIELD",
            "identifier": "0021Y",
            "state": "NC"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "3401536",
            "state": "NC"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Gaston Hospice",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Horizon Wellness Group, LLC
• Mary Grace Horn, LCSW
• Emile Marks Horne, NP
• Alice Faith Horton, RN
• Ann M Hoscheit, O.D.
• Faranak Hosseini, PMHNP-BC
• Cassady Michelaina Hossenlopp, MD
• House of Hagar
• Angela Kaye Houser, BA,MS, LCASA
• Katherine Carpenter Hovis

• Community Based Hospice Care Agency in Gastonia, NC
• Providers in Gastonia, NC by specialty
• Community Based Hospice Care Agency in North Carolina

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 15, 2010; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; facility enrollments, owners and changes of ownership; Provider of Services certification data.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.