Gastonresidential Services, Icf/Mr, Inc.

LBN: Gastonresidential Services, Icf/Mr, Inc.
Gastonresidential Services, Icf/Mr, Inc. is an health care organization with primary practice located at 100 Belmont Mount Holly Rd 205 Wimmer Circle, Belmont NC 28012-2702. The organization recently has only one registered license in Nursing & Custodial Care Facilities / Intermediate Care Facility, Mentally Retarded, which is considered as the primary health care specialty. Gastonresidential Services, Icf/Mr, Inc. can be contacted via phone (704) 861-9280, or through Weidert, Jaimee D via phone (704) 861-9280.

Contact Information

Primary practice address
100 Belmont Mount Holly Rd 205 Wimmer Circle Belmont NC 28012-2702
Fax: (704) 868-2154
Website:
Authorized official contact:
Name: Weidert, Jaimee D

Health care specialties

Profile Details

NPI number 1750516316
LBN Legal business name Gastonresidential Services, Icf/Mr, Inc.
DBA Doing business as
Authorized official Weidert, Jaimee D
Entity Organization
Organization subpart 1 No
Enumeration date May 26th, 2009
Last updated Nov 26th, 2019 - about 5 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 1750516316 NPPES
North Carolina MEDICAID 3406373

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