Active NPI
Gaston Residential Services, Inc.
- Community/Behavioral Health Agency
- Gastonia, NC
National Provider Identifier
1881750354
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Community/Behavioral Health Agency
- Legal business name
- GASTON RESIDENTIAL SERVICES, INC.
- Practice address
- 905A N New Hope Rd
Gastonia, NC 28054-3354 - Phone
- (704) 861-9280
- Fax
- (704) 868-2154
- NPI assigned
- Dec 29, 2006
- Last updated
- Nov 6, 2019
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Ms. Jaimee D Weidert
- Title
- Finance Director
- Phone
- (704) 861-9280
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Community/Behavioral Health Agency | 251S00000X | Primary |
Addresses
Primary practice location
905A N New Hope Rd
Gastonia, NC 28054-3354
Mailing address
905A N New Hope Rd
Gastonia, NC 28054-3354
Phone (704) 861-9280
Other practice location 1
417 W 10th Ave
Gastonia, NC 28052-7592
Phone (704) 861-9280
Other practice location 2
510 W 2nd Ave
Gastonia, NC 28052-3819
Phone (704) 861-9280
Other practice location 3
1047 Laurel Ln
Gastonia, NC 28054-1519
Phone (704) 861-9280
Other practice location 4
1009 Fairfield Dr
Gastonia, NC 28054-5118
Phone (704) 861-9280
Other practice location 5
605 Rosemary Ln
Gastonia, NC 28054-4966
Phone (704) 861-9280
Other practice location 6
1030 Forestbrook Dr
Gastonia, NC 28056-6611
Phone (704) 861-9280
Other identifiers 9
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 7802582 | Medicaid | NC | |
| 7804886 | Medicaid | NC | |
| 8300506 | Medicaid | NC | |
| 7803200 | Medicaid | NC | |
| 7802058 | Medicaid | NC | |
| MHL-036-239 | Other | NC | BERNICE DR. HOME |
| MHL-036-244 | Other | NC | FARMVIEW HOME |
| 7802105 | Medicaid | NC | |
| 7804622 | Medicaid | NC |
National Provider Directory
National Provider Directory- Tax ID family
- Gaston Residential Services Inc
Other organizations with this tax ID 9
Organizations that report the same tax identification number in the National Provider Directory.
-
- Community/Behavioral Health Agency
- Gastonia, NC
- NPI 1063578532
-
- Community/Behavioral Health Agency
- Gastonia, NC
- NPI 1235327099
-
- Community/Behavioral Health Agency
- Gastonia, NC
- NPI 1255567517
-
- Community/Behavioral Health Agency
- Gastonia, NC
- NPI 1306902200
-
- Community/Behavioral Health Agency
- Gastonia, NC
- NPI 1366507899
-
- Community/Behavioral Health Agency
- Gastonia, NC
- NPI 1376609289
-
- Community/Behavioral Health Agency
- Gastonia, NC
- NPI 1518023084
-
- Community/Behavioral Health Agency
- Gastonia, NC
- NPI 1558425884
-
- Community/Behavioral Health Agency
- Gastonia, NC
- NPI 1689730145
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1167350400000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1572998400000",
"number": "1881750354",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "905A N NEW HOPE RD",
"city": "GASTONIA",
"state": "NC",
"postal_code": "280543354",
"telephone_number": "704-861-9280",
"fax_number": "704-868-2154"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "905A N NEW HOPE RD",
"city": "GASTONIA",
"state": "NC",
"postal_code": "280543354",
"telephone_number": "704-861-9280",
"fax_number": "704-868-2154"
}
],
"practiceLocations": [
{
"address_1": "417 W 10th Ave",
"address_purpose": "LOCATION",
"city": "Gastonia",
"state": "NC",
"postal_code": "280527592",
"country_code": "US",
"telephone_number": "704-861-9280",
"country_name": "United States",
"address_type": "DOM"
},
{
"address_1": "510 W 2nd Ave",
"address_purpose": "LOCATION",
"city": "Gastonia",
"state": "NC",
"postal_code": "280523819",
"country_code": "US",
"telephone_number": "704-861-9280",
"country_name": "United States",
"address_type": "DOM"
},
{
"address_1": "1047 Laurel Ln",
"address_purpose": "LOCATION",
"city": "Gastonia",
"state": "NC",
"postal_code": "280541519",
"country_code": "US",
"telephone_number": "704-861-9280",
"country_name": "United States",
"address_type": "DOM"
},
{
"address_1": "1009 Fairfield Dr",
"address_purpose": "LOCATION",
"city": "Gastonia",
"state": "NC",
"postal_code": "280545118",
"country_code": "US",
"telephone_number": "704-861-9280",
"country_name": "United States",
"address_type": "DOM"
},
{
"address_1": "605 Rosemary Ln",
"address_purpose": "LOCATION",
"city": "Gastonia",
"state": "NC",
"postal_code": "280544966",
"country_code": "US",
"telephone_number": "704-861-9280",
"country_name": "United States",
"address_type": "DOM"
},
{
"address_1": "1030 Forestbrook Dr",
"address_purpose": "LOCATION",
"city": "Gastonia",
"state": "NC",
"postal_code": "280566611",
"country_code": "US",
"telephone_number": "704-861-9280",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"organization_name": "GASTON RESIDENTIAL SERVICES, INC.",
"organizational_subpart": "NO",
"enumeration_date": "2006-12-29",
"last_updated": "2019-11-06",
"status": "A",
"authorized_official_last_name": "WEIDERT",
"authorized_official_first_name": "JAIMEE",
"authorized_official_middle_name": "D",
"authorized_official_title_or_position": "FINANCE DIRECTOR",
"authorized_official_telephone_number": "704-861-9280",
"authorized_official_name_prefix": "Ms."
},
"taxonomies": [
{
"code": "251S00000X",
"taxonomy_group": "",
"desc": "Community/Behavioral Health",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "7802582",
"state": "NC"
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "7804886",
"state": "NC"
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "8300506",
"state": "NC"
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "7803200",
"state": "NC"
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "7802058",
"state": "NC"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "BERNICE DR. HOME",
"identifier": "MHL-036-239",
"state": "NC"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "FARMVIEW HOME",
"identifier": "MHL-036-244",
"state": "NC"
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "7802105",
"state": "NC"
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "7804622",
"state": "NC"
}
],
"endpoints": [],
"other_names": []
}Other providers in Gastonia, NC
- Gaston Residential Services, Inc.
- Gaston Residential Services, Inc.
- Gaston Residential Services, Inc.
- Gaston Residential Services, Inc.
- Gaston Residential Services, Inc.
- Gaston Skills Incorparation
- Gaston Skills, Inc
- Gaston Skills, Inc (Community Support Services)
- Gaston Skills, Inc (Community Support Services)
- Gaston Skills, Inc
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 6, 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.