NPI Information

  • NPI: 1295939411
  • Provider Name: PIEDMONT PIONEER HOUSE, INC.
  • Classification: Community Based Residential Treatment Facility, Mental Illness - 320800000X
  • Entity Type: Organization
  • Address: 910 ROBERTS DR
    GASTONIA, NC
    ZIP 28054
  • Phone: (704) 866-8751

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NPI Details

PIEDMONT PIONEER HOUSE, INC. is a community based residential treatment facility mental illness in Gastonia, NC. The provider is a home-like residential facility providing psychiatric treatment and psycho/social rehabilitative services to individuals diagnosed with mental illness. PIEDMONT PIONEER HOUSE, INC. NPI is 1295939411. The provider is registered as an organization entity type.

The provider's business location address is:

910 ROBERTS DR
GASTONIA, NC
ZIP 28054-804
Phone: (704) 866-8751

The provider's authorized official is Vonda Kaye Burton .
The authorized official title is Executive Director and has the following contact phone number (704) 884-2701.

The enumeration date for this NPI number is 6/12/2007 and was last updated on 8/22/2020.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No. Taxonomy Code Taxonomy Clasification Taxonomy Specialization License Number License State Primary
1320800000XCommunity Based Residential Treatment Facility, Mental IllnessMHL-036-004NORTH CAROLINAYes

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No. Other Provider Identifier Other Provider Identifier Type Other Provider Identifier State Other Provider Identifier Issuer
18301292SMEDICAIDNORTH CAROLINA

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 3/30/2025

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