GASTONRESIDENTIAL SERVICES, ICF/MR, INC. (NPI# 1750516316) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1750516316 |
| Entity Type | Organization |
| Organization Name | GASTONRESIDENTIAL SERVICES, ICF/MR, INC. |
| Practice Address |
100 Belmont Mount Holly Rd 205 Wimmer Circle Belmont NC 28012-2702 |
| Mailing Address |
905 N New Hope Rd Ste A Gastonia NC 28054-3373 |
| Practice Telephone | 7048619280 |
| Practice Fax Number | 7048682154 |
| Mailing Telephone | 7048619280 |
| Mailing Fax Number | 7048682154 |
| Enumeration Date | 2009-05-26 |
| Last Update Date | 2019-11-26 |
| Authorized Official Name | MS. JAIMEE D WEIDERT (FINANCE DIRECTOR) |
| Authorized Official Telephone | 7048619280 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 315P00000X | Intermediate Care Facility, Mentally Retarded | Nursing & Custodial Care Facilities |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| NC | 3406373 | 05 |
| Street Address |
100 BELMONT MOUNT HOLLY RD 205 WIMMER CIRCLE |
| City | BELMONT |
| State | NC |
| Zip Code | 28012-2702 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1699935312 | Claudina Ghianni | Nurse Practitioner | 100 Belmont Mount Holly Rd, Belmont, NC 28012-2702 | 2008-06-16 |
| 1669082285 | Lauren Dichiara | Specialist/Technologist | 100 Belmont Mount Holly Rd, Belmont, NC 28012-2702 | 2020-08-07 |
| 1437691300 | Amy Humphries | Specialist/Technologist | 100 Belmont Mount Holly Rd, Belmont, NC 28012-2702 | 2016-11-09 |
| 1598120412 | Mairin Elizabeth Wood | Specialist/Technologist | 100 Belmont Mount Holly Rd, Belmont, NC 28012-2702 | 2015-12-18 |
| 1134544976 | Anne Beethe | Specialist/Technologist | 100 Belmont Mount Holly Rd, Belmont, NC 28012-2702 | 2014-03-04 |
| 1255752762 | Adam Smith | Specialist/Technologist | 100 Belmont Mount Holly Rd, Belmont, NC 28012-2702 | 2013-12-31 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1902447873 | Lisa Emi Mclemore | Technician | 704 Armstrong Rd, Belmont, NC 28012 | 2019-10-02 |
| 1902453244 | Eli Zipkin | Dentist | 965 South Point Road, Belmont, NC 28012 | 2019-08-21 |
| 1457879892 | Sharon H Miller | Acupuncturist | 684 Park St, Belmont, NC 28012 | 2017-09-06 |
| 1083138242 | Harris Teeter LLC | Durable Medical Equipment & Medical Supplies | 905 South Point Rd, Belmont, NC 28012 | 2017-07-31 |
| 1285079533 | Edoardo Pate | Chiropractor | 6021 W Wilkinson Blvd, Belmont, NC 28012 | 2013-04-30 |
| 1023367430 | Abby C Blowe Dds Pa | Dentist | 8024 Water View Drive, Belmont, NC 28012 | 2012-08-30 |
| 1972885598 | Michelle Marie Watkins | Counselor | 32 N Main St Ste 204, Belmont, NC 28012 | 2011-09-10 |
| 1598050791 | Lauren Swafford | Pharmacist | 6750 Wilkinson Boulevard, Belmont, NC 28012 | 2011-06-15 |
| 1316264831 | Evelyn Maiers Bailey | Respiratory Therapist, Certified | 230 River Loop Rd, Belmont, NC 28012 | 2010-04-23 |
| 1376866079 | Metrolina Psychotherapy Associates P.a. | Social Worker | 1212 Spruce St., Suite 315, Belmont, NC 28012 | 2010-03-09 |
| Find all providers in zip 28012 | ||||
| Taxonomy Code | 315P00000X |
| Grouping | Nursing & Custodial Care Facilities |
| Classification | Intermediate Care Facility, Mentally Retarded |
| (1) A public institution for care of the mentally retarded or people with related conditions. (2) An institution giving active treatment to mentally retarded or developmentally disabled persons or persons with related conditions. The primary purpose of the institution is to provide health or rehabilitative services to such individuals. |
| Notes: Sources: (1) Lexikon: Dictionary of Health Care Terms, Organizations and Acronyms for the Era of Reform, Joint Commission on Accreditation of Healthcare Organizations, Oakbrook Terrace, IL: 1994, p. 403 (2) Paraphrased from Code of Federal Regulations #42, Public Health, Section 440.150(c). |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1114115573 | Voca Corp. | Intermediate Care Facility, Mentally Retarded | 67075 Pineview Dr, Belmont, OH 43718-9699 | 2007-10-11 |
| 1497942676 | Voca Corp. | Intermediate Care Facility, Mentally Retarded | 67095 Pineview Dr, Belmont, OH 43718-9699 | 2007-10-01 |
| 1306977822 | Commonwealth of Mass - Dds | Intermediate Care Facility, Mentally Retarded | 200 Trapelo Road, Belmont, MA 02452-6302 | 2007-03-08 |
| 1477632446 | Mcauley Circle | Intermediate Care Facility, Mentally Retarded | 6600 W Wilkinson Blvd, Belmont, NC 28012-2796 | 2006-11-02 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1730702937 | Gha Autism Supports | Intermediate Care Facility, Mentally Retarded | 44012 Morrow Mountain Rd, Albemarle, NC 28001-8616 | 2020-05-21 |
| 1811517774 | Educare Community Living Corporation-north Carolina | Intermediate Care Facility, Mentally Retarded | 834 Tyvola Rd Ste 116, Charlotte, NC 28217-3542 | 2020-04-21 |
| 1598125460 | Rha Health Services Nc LLC | Intermediate Care Facility, Mentally Retarded | 410 N Mineral Springs Rd, Durham, NC 27703-3618 | 2016-03-04 |
| 1023478294 | Rha Health Services Nc, LLC | Intermediate Care Facility, Mentally Retarded | 619 Ray Ave, Hendersonville, NC 28792-2668 | 2016-03-02 |
| 1740649417 | Rha Health Services Nc, LLC | Intermediate Care Facility, Mentally Retarded | 310 Locust Street, West Jefferson, NC 28694 | 2016-02-23 |
| 1841655453 | Journeys Healthcare | Intermediate Care Facility, Mentally Retarded | 515 Carver Moore Rd, Lake Waccamaw, NC 28450-9713 | 2015-12-24 |
| 1326414665 | Rha North Carolina Mr, Inc. | Intermediate Care Facility, Mentally Retarded | 1388 Lewis Fork Baptist Ch Rd, Ferguson, NC 28624-9080 | 2015-08-20 |
| 1609299916 | Rha Health Services Nc, LLC | Intermediate Care Facility, Mentally Retarded | 1802 Strickland Bridge Rd, Fayetteville, NC 28304-5739 | 2014-01-23 |
| 1861822314 | Voca Corporation of North Carolina | Intermediate Care Facility, Mentally Retarded | 4109 Enoch Dr, Charlotte, NC 28269-2578 | 2013-11-20 |
| 1902144314 | Rouse's Group Home Inc | Intermediate Care Facility, Mentally Retarded | 5820 Nc 135, Stoneville, NC 27048-8478 | 2013-01-18 |
| Find all providers with the same taxonomy | ||||
Please comment or provide details below to improve the information on GASTONRESIDENTIAL SERVICES, ICF/MR, INC..
| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.