GASTON RESIDENTIAL SERVICES, ICF/MR, INC.
NPI 1689809493
Intermediate Care Facility, Intellectual Disabilities in Gastonia, NC

Active since May 22, 2009
934 SPRINGDALE LN, GASTONIA, NC 28052(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: July 26, 2026.

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 1689809493) 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

NPI1689809493
Entity TypeOrganization
Primary Taxonomy315P00000X
Legal Business NameGASTON RESIDENTIAL SERVICES, ICF/MR, INC.
Location Address934 SPRINGDALE LNGastonia, NC 28052-5327
Mailing Address905 N New Hope Rd Ste AGastonia, NC 28054-3373 · (704) 861-9280 · Fax (704) 868-2154
Fax(704) 868-2154
Organization SubpartNo
Authorized OfficialLynette G DemperioFinance Director · (704) 861-9280
Enumeration DateMay 22, 2009
NPI 1689809493 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.

934 SPRINGDALE LN, Gastonia, NC 28052

Other Identifiers 1

Medicaid3406290NC

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 1689809493. 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 934 Springdale Ln, Gastonia, NC 28052. 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 with the weekly NPPES data releases published by CMS.