OrganizationActive
Care 4 Youth Family Residential Services LLC
NPI 1063235919 · Mental Illness Community Based Residential Treatment Facility · Gastonia, NC
Provider details
- NPI number
- 1063235919
- Entity type
- Organization
- Primary specialty
- Mental Illness Community Based Residential Treatment FacilityResidential Treatment Facilities
- Organization subpart
- No
- Authorized official
- Shalimar Rose, Owner-Ceo(704) 685-8051
Specialties & taxonomies
Residential Treatment Facilities
Profile Score
Established profile(55/100 index)
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure38% of score
1 yr in NPPES registry
- Profile completeness38% of score
100% of core fields populated
- Practice footprint23% of score
1 documented practice location
Signals a provider has no public data for (e.g. Medicare claims) are left out of the score entirely — never counted as zero — so providers without that data are not penalized. See the full formula and weights in our methodology.
Practice location
1616 Neal Hawkins Rd
Gastonia, NC 28056-6429
Phone: (704) 685-8051
Street-level locationGet directions
Mailing address
1072 Joselynn Dr
Gastonia, NC 28054-0035
Registry dates
- Enumerated
- 2024-11-07
- Last updated
- 2025-09-11
- Certified
- 2025-08-25
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.