MRS. LINDA ELIZABETH GIBSON
NPI 1265693584
Residential Treatment Facility, Intellectual and/or Developmental Disabilities in Jacksonville, NC

Active since June 19, 2008
180 COASTAL LN, JACKSONVILLE, NC 28546(910) 455-6724(910) 346-5489 Get Directions Write a Review

NPPES record last updated: June 19, 2015. Verified against the NPPES registry weekly; last sync: August 09, 2026.

About Mrs. Linda Elizabeth Gibson NPPES

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

MRS. LINDA ELIZABETH GIBSON (NPI 1265693584) is an individual residential treatment facility, intellectual and/or developmental disabilities provider in Jacksonville, North Carolina, licensed in North Carolina (MHL-067-026) and active in the NPI registry since June 2008.

NPPES Registry Identity

NPI1265693584
Entity TypeIndividualFemale
Primary Taxonomy320600000X
Provider Legal NameMRS. LINDA ELIZABETH GIBSON
Location Address180 COASTAL LNJacksonville, NC 28546-6761
Mailing Address180 Coastal LnJacksonville, NC 28546-6761 · (910) 455-6724 · Fax (910) 346-5489
Fax(910) 346-5489
Sole ProprietorYes
Enumeration DateJune 19, 2008
Last NPPES UpdateJune 19, 2015
NPI 1265693584 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyResidential Treatment Facility, Intellectual and/or Developmental DisabilitiesResidential Treatment Facilities
Taxonomy Code320600000X
License Licensed in NC · MHL-067-026
Definition
A residential facility that provides habilitation services and other care and treatment to adults or children diagnosed with developmental and intellectual disabilities and are not able to live independently.
180 COASTAL LN, Jacksonville, NC 28546

Other Identifiers 1

Medicaid3408956NC

Other Providers at the Same Location NPPES 2

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

Community/Behavioral Health
180 COASTAL LN
JACKSONVILLE, NC 28546
Licensed Practical Nurse
180 COASTAL LN
JACKSONVILLE, NC 28546

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 Linda Gibson's NPI number?

The NPI number for Linda Gibson is 1265693584. It was assigned to this individual provider in the NPPES registry on June 19, 2008.

Where is Linda Gibson located?

Linda Gibson practices at 180 Coastal Ln, Jacksonville, NC 28546. The listed phone number is (910) 455-6724.

What is Linda Gibson's specialty?

The primary specialty registered for this NPI is Residential Treatment Facility, Intellectual and/or Developmental Disabilities with taxonomy code 320600000X.

When was this NPI record last updated?

The NPPES record for Linda Gibson was last updated on June 19, 2015. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 11 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.