GASTON RESIDENTIAL SERVICES, ICF/MR, INC.
NPI 1265667075
Intermediate Care Facility, Intellectual Disabilities in Gastonia, NC

Q: What is Gaston Residential Services, Icf/Mr, Inc.'s specialty?

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

Active since May 22, 2009

138 MEEK RD, GASTONIA, NC 28056(704) 861-9280(704) 868-2154 Get Directions Write a Review

NPPES record last updated: May 22, 2009. Verified against the NPPES registry weekly; last sync: August 02, 2026.

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About Gaston Residential Services, Icf/mr, Inc. NPPES

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

GASTON RESIDENTIAL SERVICES, ICF/MR, INC. (NPI 1265667075) is a healthcare organization registered as an intermediate care facility, intellectual disabilities in Gastonia, North Carolina and active in the NPI registry since May 2009. The organization lists Lynette G Demperio, Finance Director, as its authorized official.

NPPES Registry Identity

NPI1265667075

Entity TypeOrganization

Primary Taxonomy315P00000X

Legal Business NameGASTON RESIDENTIAL SERVICES, ICF/MR, INC.

Location Address138 MEEK RDGastonia, NC 28056-9075

Mailing Address905 N New Hope Rd Ste AGastonia, NC 28054-3373 · (704) 861-9280 · Fax (704) 868-2154

Phone(704) 861-9280

Fax(704) 868-2154

Organization SubpartNo

Authorized OfficialLynette G DemperioFinance Director · (704) 861-9280

Enumeration DateMay 22, 2009

✔ NPI 1265667075 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

Definition

An intermediate care facility providing services for individuals with intellectual disabilities.

138 MEEK RD, Gastonia, NC 28056

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Other Identifiers 1

Medicaid3406472NC

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 Gaston Residential Services, Icf/Mr, Inc.'s NPI number?

The NPI number for Gaston Residential Services, Icf/Mr, Inc. is 1265667075. It was assigned to this organization in the NPPES registry on May 22, 2009.

Where is Gaston Residential Services, Icf/Mr, Inc. located?

Gaston Residential Services, Icf/Mr, Inc. is located at 138 Meek Rd, Gastonia, NC 28056. The listed phone number is (704) 861-9280.

What is Gaston Residential Services, Icf/Mr, 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 Gaston Residential Services, Icf/Mr, Inc. was last updated on May 22, 2009. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 17 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.