GASTONRESIDENTIAL SERVICES, ICF/MR, INC.
NPI 1750516316
Intermediate Care Facility, Intellectual Disabilities in Belmont, NC

Q: What is Gastonresidential 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 26, 2009

100 BELMONT MOUNT HOLLY RD, 205 WIMMER CIRCLE, BELMONT, NC 28012(704) 861-9280(704) 868-2154 Get Directions Write a Review

NPPES record last updated: November 26, 2019. Verified against the NPPES registry weekly; last sync: August 16, 2026.

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About Gastonresidential Services, Icf/mr, Inc. NPPES

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

GASTONRESIDENTIAL SERVICES, ICF/MR, INC. (NPI 1750516316) is a healthcare organization registered as an intermediate care facility, intellectual disabilities in Belmont, North Carolina and active in the NPI registry since May 2009. The organization lists Jaimee D Weidert, Finance Director, as its authorized official.

NPPES Registry Identity

NPI1750516316

Entity TypeOrganization

Primary Taxonomy315P00000X

Legal Business NameGASTONRESIDENTIAL SERVICES, ICF/MR, INC.

Location Address100 BELMONT MOUNT HOLLY RD, 205 WIMMER CIRCLEBelmont, NC 28012-2702

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 OfficialJaimee D WeidertFinance Director · (704) 861-9280

Enumeration DateMay 26, 2009

Last NPPES UpdateNovember 26, 2019

✔ NPI 1750516316 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.

100 BELMONT MOUNT HOLLY RD, Belmont, NC 28012

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Other Identifiers 1

Medicaid3406373NC

Other Providers at the Same Location NPPES 10

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

MS. HANNAH LAUREN GUTOSKY ATC

Specialist/Technologist (Athletic Trainer)