HICKORY CREEK AT GASTON
NPI 1265463665
Intermediate Care Facility, Intellectual Disabilities in Gaston, IN

Active since July 05, 2006
502 N. MADISON ST, GASTON, IN 47342(765) 358-3324(765) 358-4365 Get Directions Write a Review

NPPES record last updated: September 26, 2013. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Hickory Creek At Gaston NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

HICKORY CREEK AT GASTON (NPI 1265463665) is a healthcare organization registered as an intermediate care facility, intellectual disabilities in Gaston, Indiana and active in the NPI registry since July 2006. The organization lists Gary Brent Waymire, Vice President Of Operations, as its authorized official.

NPPES Registry Identity

NPI1265463665
Entity TypeOrganization
Primary Taxonomy315P00000X
Legal Business NameHICKORY CREEK HEALTHCARE FOUNDATION, INC.
Location Address502 N. MADISON STGaston, IN 47342-0159
Mailing Address6081 E 82nd St, Suite 120Indianapolis, IN 46250-1795 · (317) 570-0266 · Fax (317) 570-0488
Fax(765) 358-4365
Organization SubpartYesParent: Hickory Creek Healthcare Foundation Inc
Authorized OfficialGary Brent WaymireVice President Of Operations · (317) 570-0266
Enumeration DateJuly 5, 2006
Last NPPES UpdateSeptember 26, 2013
NPI 1265463665 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyIntermediate Care Facility, Intellectual DisabilitiesNursing & Custodial Care Facilities
Taxonomy Code315P00000X
License Licensed in IN · 05-000614-1
Definition
An intermediate care facility providing services for individuals with intellectual disabilities.
502 N. MADISON ST, Gaston, IN 47342

Other Names 1

Doing Business AsHickory Creek At Gaston

Other Identifiers 1

Medicaid100272120IN

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Hickory Creek Healthcare Foundation, Inc.'s NPI number?

The NPI number for Hickory Creek Healthcare Foundation, Inc. is 1265463665. It was assigned to this organization in the NPPES registry on July 5, 2006. The provider is doing business as Hickory Creek At Gaston.

Where is Hickory Creek Healthcare Foundation, Inc. located?

Hickory Creek Healthcare Foundation, Inc. is located at 502 N. Madison St, Gaston, IN 47342. The listed phone number is (765) 358-3324.

What is Hickory Creek Healthcare Foundation, Inc.'s specialty?

The primary specialty registered for this NPI is Intermediate Care Facility, Intellectual Disabilities with taxonomy code 315P00000X.

When was this NPI record last updated?

The NPPES record for Hickory Creek Healthcare Foundation, Inc. was last updated on September 26, 2013. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 12 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.