GASTONIA OPERATING AL LLC NPI 1497084644

NPI Information

  • NPI: 1497084644
  • Provider Name: GASTONIA OPERATING AL, LLC
  • Classification: Assisted Living Facility - 310400000X
  • Entity Type: Organization
  • Doing Business As: WELLINGTON HOUSE
  • CLIA Number: 34D2019535
  • Address: 850 MAJESTIC CT
    GASTONIA, NC
    ZIP 28054
  • Phone: (704) 864-7739

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NPI Details

GASTONIA OPERATING AL, LLC is an assisted living facility in Gastonia, NC. The provider is a facility providing supportive services to individuals who can function independently in most areas of activity, but need assistance and/or monitoring to assure safety and well being. GASTONIA OPERATING AL, LLC NPI is 1497084644. The provider is registered as an organization entity type.
The provider Is Doing Business As Wellington House.

The provider's business location address is:

850 MAJESTIC CT
GASTONIA, NC
ZIP 28054-131
Phone: (704) 864-7739

The provider's authorized official is Charles E Trefzger .
The authorized official title is Authorized Official and has the following contact phone number (828) 261-7312.

The CLIA number assigned to this NPI record is 34D2019535 - assisted living facility with a certificate type of Certificate of Waiver.

The enumeration date for this NPI number is 12/17/2009 and was last updated on 12/17/2009.

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
1310400000XAssisted Living FacilityNORTH CAROLINAYes

What is NPI?

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This page was last updated on: 11/21/2025

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