Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
NPIDirectory

Gaston Residential Services, ICF/MR, Inc

Organization Intellectual Disabilities Intermediate Care Facility · NPI 1891859203

Gaston Residential Services, ICF/MR, Inc is an Intellectual Disabilities Intermediate Care Facility in Gastonia, North Carolina. Licensed in North Carolina. Registered with an NPI since 2006.

Licensed in
NC
In the registry since
2006
Specialties on file
5
What do these letters mean?
Inc — Incorporated
A form of business registration, not a clinical qualification.

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Practice location Address checks out

1101 E Franklin Blvd
Gastonia, NC 28054-4251
Phone: (704) 861-9280
Fax: (704) 868-2154
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Intellectual Disabilities Intermediate Care Facility (primary) Taxonomy 315P00000X · Licence MHL-036-046 (NC)
Intellectual Disabilities Intermediate Care Facility Taxonomy 315P00000X · Licence MHL-036-022 (NC)
Intellectual Disabilities Intermediate Care Facility Taxonomy 315P00000X · Licence MHL-036-069 (NC)
Intellectual Disabilities Intermediate Care Facility Taxonomy 315P00000X · Licence MHL-036-016 (NC)
Intellectual Disabilities Intermediate Care Facility Taxonomy 315P00000X · Licence MHL-036-011 (NC)

Record details

NPI number1891859203
Entity typeOrganization (Type 2)
Organization subpartNo
Authorized official Jaimee Weidert — Finance Director · (704) 861-9280
NPI enumeratedDecember 20, 2006
Last updated in NPPESApril 8, 2019
Mailing address905a N New Hope Rd, Gastonia, NC 28054-3354

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