Gaston Memorial Home Health Care/Med.Inc.

Primary specialty

Durable Medical Equipment & Medical SuppliesTaxonomy code 332B00000X

Legal business name

GASTON MEMORIAL HOME HEALTH CARE/MED.INC.

Practice address

200 E 2ND Ave
Gastonia, NC 28052-4358

Phone

(704) 834-2025

Fax

(704) 834-2038

NPI assigned

Jul 11, 2005

Organization subpart

No

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

Authorized official

Name

Mrs. Kimber Z Walters

Title

Executive Director

Phone

(704) 834-2025

Specialties & licenses 2

Addresses

Other identifiers 7

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

{
    "created_epoch": "1121040000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1757548800000",
    "number": "1861490161",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 2568",
            "city": "GASTONIA",
            "state": "NC",
            "postal_code": "280532568",
            "telephone_number": "704-834-2025",
            "fax_number": "704-834-2038"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "200 E 2ND AVE",
            "city": "GASTONIA",
            "state": "NC",
            "postal_code": "280524358",
            "telephone_number": "704-834-2025",
            "fax_number": "704-834-2038"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "GASTON MEMORIAL HOME HEALTH CARE/MED.INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2005-07-11",
        "last_updated": "2025-09-11",
        "status": "A",
        "authorized_official_last_name": "WALTERS",
        "authorized_official_first_name": "KIMBER",
        "authorized_official_middle_name": "Z",
        "authorized_official_title_or_position": "EXECUTIVE DIRECTOR",
        "authorized_official_telephone_number": "704-834-2025",
        "authorized_official_name_prefix": "Mrs."
    },
    "taxonomies": [
        {
            "code": "251E00000X",
            "taxonomy_group": "",
            "desc": "Home Health",
            "state": "NC",
            "license": "HC0906",
            "primary": false
        },
        {
            "code": "332B00000X",
            "taxonomy_group": "",
            "desc": "Durable Medical Equipment & Medical Supplies",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "7100452",
            "state": "NC"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "3408315",
            "state": "NC"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "3417131",
            "state": "NC"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "6800451",
            "state": "NC"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "6600071",
            "state": "NC"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "7703688",
            "state": "NC"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "DIVISION OF FACILITY SERV",
            "identifier": "HC0906",
            "state": "NC"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Gaston Lincoln Cleveland Mhddsa Program
• Gaston Lincoln Cleveland Mhddsa Program
• Gaston Manor
• Gaston Medical Associates, PA
• Gaston Medical Partners PLLC
• Gaston Memorial Hospital, Inc
• Gaston Memorial Hospital, Incorporated
• Gaston Memorial Hospital, Incorporated
• Gaston Memorial Hospital, Incorporated
• Gaston Neurological, PLLC

• All providers in Gastonia, NC
• Durable Medical Equipment & Medical Supplies in North Carolina

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 11, 2025; 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.