Type 2 · Organization ✓ Active NPI ✓ Valid NPI checksum

Gaston Residential Services, Icf/Mr, Inc.

Intellectual Disabilities Intermediate Care Facility in Cherryville, NC · enumerated 2009 · authorized official Lynette Demperio, Finance Director.

Data current as of Jul 13, 2026 · sourced from CMS NPPES

National Provider Identifier

1316172125

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Registry record

Entity type Organization (Type 2)

Legal business name Gaston Residential Services, Icf/Mr, Inc.

Practice address 1102 Requa Rd, Cherryville, NC, 28021

Phone (704) 861-9280

Fax (704) 868-2154

Enumeration date May 22, 2009

Last updated in NPPES May 22, 2009

Taxonomy & classification

315P00000X Intellectual Disabilities Intermediate Care Facility Nursing & Custodial Care Facilities Primary

Authorized official

Name Lynette Demperio

Title Finance Director

Phone (704) 861-9280

Other identifiers

Identifier	Type	State	Issuer
3406432	Medicaid	NC	-

What is an NPI number?

A National Provider Identifier (NPI) is a unique 10-digit number that CMS assigns to every U.S. healthcare provider and organization under HIPAA. Type 1 NPIs identify individual providers; Type 2 NPIs identify organizations. The NPI appears on insurance claims, prescriptions, and credentialing paperwork, and never changes, even if the provider moves or changes specialty.

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Frequently asked questions

How current is this record?

Data comes from the CMS NPPES public dissemination file; this record was last updated in NPPES on 2009-05-22. Verify at npiregistry.cms.hhs.gov.

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

The practice location on file with NPPES is in Cherryville, NC.

Source: CMS NPPES (public data). Snapshot 2026-07-13. Provider record last updated 2009-05-22.