Gaston Residential Services, Inc.

LBN: Gaston Residential Services, Inc.
Gaston Residential Services, Inc. is an health care organization with primary practice located at 905A N New Hope Rd , Gastonia NC 28054-3354. The organization recently has 2 registered licenses in different health care specialties including Agencies / Community/Behavioral Health, Residential Treatment Facilities / Community Based Residential Treatment Facility, Mental Retardation and/or Developmental Disabilities. Agencies / Community/Behavioral Health is the primary health care specialty. Gaston Residential Services, Inc. can be contacted via phone (704) 861-9280, or through Davis, Thomas G via phone (704) 861-9280.

Contact Information

Primary practice address
905A N New Hope Rd Gastonia NC 28054-3354
Phone: (704) 861-9280
Fax: (704) 868-2154
Website:
Map and Directions
Authorized official contact:
Name: Davis, Thomas G
Phone: (704) 861-9280

Health care specialties

SpecialtyCodeLicense #State
Agencies / Community/Behavioral Health 251S00000X
Residential Treatment Facilities / Community Based Residential Treatment Facility, Mental Retardation and/or Developmental Disabilities 320900000X

Profile Details

NPI number 1558425884
LBN Legal business name Gaston Residential Services, Inc.
DBA Doing business as
Authorized official Davis, Thomas G
Entity Organization
Organization subpart 1 No
Enumeration date Dec 21st, 2006
Last updated Sep 13th, 2021 - about 3 years ago

1 Some organizations, which are providing health care services, may consist of units or departments that provide different types of health care services or have several separate physical locations, where health care service is provided. These units, departments or physical locations are not themselves legal entities. However, each of them is part of the organization, which is a legal entity. The organization may decide whether its subparts, if it has any, should have their own NPI numbers. In case a subpart conducts any HIPAA standard transactions by itself, without its parent's involvement, it must have its own NPI number.

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Identifiers

StateTypeNumberIssuer
All States NPI 1558425884 NPPES
North Carolina Other MHL-036-239 FAIRVIEW GROUP HOME LICENSE
North Carolina MEDICAID 8300506 FAIRVIEW GROUP HOME LICENSE
North Carolina MEDICAID 7802582 FAIRVIEW GROUP HOME LICENSE
North Carolina MEDICAID 7804622 FAIRVIEW GROUP HOME LICENSE
North Carolina MEDICAID 3408863 FAIRVIEW GROUP HOME LICENSE
North Carolina MEDICAID 7802105 FAIRVIEW GROUP HOME LICENSE
North Carolina MEDICAID 7802058 FAIRVIEW GROUP HOME LICENSE

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