GENTLEMEN'S QUARTERS I. LLC. NPI 1700902897

NPI Information

  • NPI: 1700902897
  • Provider Name: GENTLEMEN'S QUARTERS I., LLC.
  • Classification: Assisted Living Facility - 310400000X
  • Entity Type: Organization
  • Address: 801 S MAIN ST
    APT. 91
    MOUNT HOLLY, NC
    ZIP 28120
  • Phone: (704) 820-9449

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NPI Details

GENTLEMEN'S QUARTERS I., LLC. is an assisted living facility in Mount Holly, 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. GENTLEMEN'S QUARTERS I., LLC. NPI is 1700902897. The provider is registered as an organization entity type and is a single specialty group.

The provider's business location address is:

801 S MAIN ST
APT. 91
MOUNT HOLLY, NC
ZIP 28120-048
Phone: (704) 820-9449
Fax: (704) 827-0718

The provider's authorized official is Kelly Katear Anderson .
The authorized official title is Executive Director and has the following contact phone number (704) 853-2665.

The enumeration date for this NPI number is 3/21/2007 and was last updated on 9/11/2025.

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
1101YM0800XCounselorMental HealthMHL-036-251NORTH CAROLINANo
2320600000XResidential Treatment Facility, Intellectual and/or Developmental DisabilitiesMHL-036-251NORTH CAROLINANo
3251S00000XCommunity/Behavioral HealthNo
4320800000XCommunity Based Residential Treatment Facility, Mental IllnessNo
5347C00000XPrivate VehicleNo
6311ZA0620XCustodial Care FacilityAdult Care HomeNo
7385H00000XRespite CareNo
8310400000XAssisted Living FacilityYes

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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