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MOUNTAIN RIDGE GROUP HOME
NPI 1851447221
Intermediate Care Facility, Intellectual Disabilities in Gastonia, NC

Active since January 26, 2007
810 KING ARTHUR DR, GASTONIA, NC 28056(704) 824-8941 Get Directions Write a Review

NPPES record last updated: June 26, 2017. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Mountain Ridge Group Home NPPES

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

MOUNTAIN RIDGE GROUP HOME (NPI 1851447221) is a healthcare organization registered as an intermediate care facility, intellectual disabilities in Gastonia, North Carolina and active in the NPI registry since January 2007. The organization lists Kirby Nickerson, Chief Financial Officer, as its authorized official.

NPPES Registry Identity

NPI1851447221
Entity TypeOrganization
Primary Taxonomy315P00000X
Legal Business NameLUTHERAN FAMILY SERVICES IN THE CAROLINAS
Location Address810 KING ARTHUR DRGastonia, NC 28056-8469
Mailing AddressPo Box 2369Salisbury, NC 28145-2369 · (704) 637-2870
Phone(704) 824-8941
Organization SubpartYes
Authorized OfficialKirby NickersonChief Financial Officer · (704) 754-8228
Enumeration DateJanuary 26, 2007
Last NPPES UpdateJune 26, 2017
✔ NPI 1851447221 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 3

★ Primary SpecialtyIntermediate Care Facility, Intellectual DisabilitiesNursing & Custodial Care Facilities
Taxonomy Code315P00000X
License✔ Licensed in NC · MHL036031
Definition
An intermediate care facility providing services for individuals with intellectual disabilities.
Also ListedCommunity/Behavioral HealthTaxonomy 251S00000X
Also ListedResidential Treatment Facility, Intellectual and/or Developmental DisabilitiesTaxonomy 320600000X · License MHL-036-031 (NC)
810 KING ARTHUR DR, Gastonia, NC 28056
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Other Names 1

Doing Business AsMountain Ridge Group Home

Other Identifiers 1

Medicaid3416485NC

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 Lutheran Family Services In The Carolinas's NPI number?

The NPI number for Lutheran Family Services In The Carolinas is 1851447221. It was assigned to this organization in the NPPES registry on January 26, 2007. The provider is doing business as Mountain Ridge Group Home.

Where is Lutheran Family Services In The Carolinas located?

Lutheran Family Services In The Carolinas is located at 810 King Arthur Dr, Gastonia, NC 28056. The listed phone number is (704) 824-8941.

What is Lutheran Family Services In The Carolinas'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 Lutheran Family Services In The Carolinas was last updated on June 26, 2017. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 9 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.