PRIME GENERATION NPI 1407773401

NPI Information

  • NPI: 1407773401
  • Provider Name: PRIME GENERATION
  • Classification: Residential Treatment Facility, Emotionally Disturbed Children - 322D00000X
  • Entity Type: Organization
  • Address: 2642 FORBES RD
    GASTONIA, NC
    ZIP 28056
  • Phone: (704) 516-7190

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NPI Details

PRIME GENERATION is a residential treatment facility emotionally disturbed children in Gastonia, NC. The provider is a residential facility that provides habilitation services and other care and treatment to children diagnosed with mental health illness, behavioral issues, and intellectual disabilities and are not able to live independently. PRIME GENERATION NPI is 1407773401. The provider is registered as an organization entity type.

The provider's business location address is:

2642 FORBES RD
GASTONIA, NC
ZIP 28056-206
Phone: (704) 516-7190
Fax: (704) 516-7190

The provider's authorized official is Stephen Washington .
The authorized official title is Program Director and has the following contact phone number (704) 516-7190.

The enumeration date for this NPI number is 7/1/2026 and was last updated on 7/1/2026.

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
1322D00000XResidential Treatment Facility, Emotionally Disturbed ChildrenYes

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: 11/21/2025

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