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GASTON RESIDENTIAL SERVICES, ICF/MR, INC.
NPI 1891859203
Intermediate Care Facility, Intellectual Disabilities in Gastonia, NC

Active since December 20, 2006
1101 E FRANKLIN BLVD, GASTONIA, NC 28054(704) 861-9280(704) 868-2154 Get Directions Write a Review

NPPES record last updated: April 8, 2019. Verified against the NPPES registry weekly; last sync: August 02, 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 1891859203) is a healthcare organization registered as an intermediate care facility, intellectual disabilities in Gastonia, North Carolina and active in the NPI registry since December 2006. The organization lists Jaimee D Weidert, Finance Director, as its authorized official.

NPPES Registry Identity

NPI1891859203
Entity TypeOrganization
Primary Taxonomy315P00000X
Legal Business NameGASTON RESIDENTIAL SERVICES, ICF/MR, INC.
Location Address1101 E FRANKLIN BLVDGastonia, NC 28054-4251
Mailing Address905a N New Hope RdGastonia, NC 28054-3354 · (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 DateDecember 20, 2006
Last NPPES UpdateApril 8, 2019
✔ NPI 1891859203 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
Licenses✔ Licensed in NC · MHL-036-046✔ Licensed in NC · MHL-036-016✔ Licensed in NC · MHL-036-011✔ Licensed in NC · MHL-036-022✔ Licensed in NC · MHL-036-069
Definition
An intermediate care facility providing services for individuals with intellectual disabilities.
1101 E FRANKLIN BLVD, Gastonia, NC 28054
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Other Identifiers 5

Medicaid3406432NC
Medicaid3406472NC
Medicaid3406290NC
Medicaid3406554NC
Medicaid3406373NC

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 1891859203. It was assigned to this organization in the NPPES registry on December 20, 2006.

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

Gaston Residential Services, Icf/Mr, Inc. is located at 1101 E Franklin Blvd, Gastonia, NC 28054. 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 April 8, 2019. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 7 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.