GATEWAY BEHAVIORAL HEALTH SERVICES (NPI# 1013282672) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1013282672 |
| Entity Type | Organization |
| Organization Name | GATEWAY BEHAVIORAL HEALTH SERVICES |
| Other Organization Name | EFFINGHAM TRAINING CENTER COMP |
| Practice Address |
275 First Street Ext Springfield GA 31329 |
| Mailing Address |
700 Coastal Village Dr Brunswick GA 31520-1974 |
| Practice Telephone | 9125548510 |
| Enumeration Date | 2012-03-15 |
| Last Update Date | 2012-03-19 |
| Authorized Official Name | RACHEL SKINNER (DIRECTOR OF REIMBURSEMENT) |
| Authorized Official Telephone | 9125548498 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 251C00000X | Day Training, Developmentally Disabled Services | Agencies |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| GA | 000622553AU | 05 |
| Other Name | Type Code |
|---|---|
| Effingham Training Center COMP | Other Name - Individual/Organization |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1295373090 | Gateway Behavioral Health Services | Community/Behavioral Health | 2121 East Derenne Ave, Savannah, GA 31406 | 2019-12-12 |
| 1619519709 | Gateway Behavioral Health Services | Community Based Residential Treatment, Mental Retardation and/or Developmental Disabilities | 516 Freedom Trl, Brunswick, GA 31525-4712 | 2019-10-10 |
| 1902451693 | Gateway Behavioral Health Services | Community/Behavioral Health | 210 E 15th St Ste A, Woodbine, GA 31569-5501 | 2019-08-08 |
| 1497042303 | Gateway Behavioral Health Services | Community/Behavioral Health | 2 Lodge Rd, Hwy 17 North, Brunswick, GA 31525-2011 | 2011-06-30 |
| 1366737330 | Gateway Behavioral Health Services | Community/Behavioral Health | 3441 Cypress Mill Rd, Brunswick, GA 31520-2878 | 2011-06-17 |
| 1750672242 | Gateway Behavioral Health Services | Community Based Residential Treatment, Mental Retardation and/or Developmental Disabilities | 6055 New Jesup Hwy, Brunswick, GA 31523-1629 | 2011-05-02 |
| 1497054522 | Gateway Behavioral Health Services | Counselor | 3 Oglethorpe Professional Blvd, Savannah, GA 31406-3603 | 2011-03-15 |
| 1124254321 | Gateway Behavioral Health Services | Community Based Residential Treatment Facility, Mental Illness | 121 Burgess Rd, Brunswick, GA 31523-9311 | 2009-06-03 |
| 1558595983 | Gateway Behavioral Health Services | Community/Behavioral Health | 3045 Scarlett Street, Brunswick, GA 31520-1251 | 2009-05-13 |
| 1356587224 | Gateway Behavioral Health Services | Counselor | 515 E. 63rd Street, Suite 1, Savannah, GA 31405 | 2008-12-26 |
| Entity Type | Entity Name | Entity Address |
|---|---|---|
| System for Award Management (SAM) Entities | GATEWAY BEHAVIORAL HEALTH SERVICES | 600 Coastal Village Dr, Brunswick, GA 31520-1973 |
| Street Address |
275 FIRST STREET EXT |
| City | SPRINGFIELD |
| State | GA |
| Zip Code | 31329 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1700170107 | Shonda Miller | Counselor | 275 First Street Ext, Springfield, GA 31329 | 2011-06-02 |
| 1316290059 | Kendall A Johnson | Social Worker | 275 First Street Ext, Springfield, GA 31329-0000 | 2012-10-18 |
| 1609160001 | Patricia White | Registered Nurse | 275 First Street Ext, Springfield, GA 31329 | 2011-06-02 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1447653167 | Mary Elizabeth Weaver | Licensed Practical Nurse | 802 Hwy 119 S, Springfield, GA 31329 | 2014-10-08 |
| 1023411733 | Bethany Thornton | Registered Nurse | 802 Us Highway 119 South, Springfield, GA 31329 | 2014-10-08 |
| 1821375593 | Heritage Counseling, Inc | Counselor | 1009 N Columbia Ave, Rincon, GA 31329 | 2011-11-09 |
| 1902134638 | Optim Orthopedics, LLC | Orthopaedic Surgery | 459 Highway 119 South, Springfield, GA 31329 | 2009-11-18 |
| 1073642211 | Gateway Behavioral Health Services | Community/Behavioral Health | 275 First Street, Springfield, GA 31329 | 2007-03-05 |
| 1003945627 | Gateway Behavioral Health Services | Counselor | 275 First Street Extention, Springfield, GA 31329 | 2007-03-02 |
| 1821188228 | Quick Rx Drugs Inc | Pharmacy | 504 North Laurel Street, Springfield, GA 31329 | 2006-10-14 |
| 1386687275 | Janice E Ford | Nurse Practitioner | 1451 Highway 21 South, Suite H, Springfield, GA 31329 | 2006-06-14 |
| 1962960484 | Wendi Martin | Nurse Practitioner | 1571 Highway 21 S, Springfield, GA 31329 | 2019-03-04 |
| 1104339811 | Stacie Colello | Registered Nurse | 802 Highway 119 South, Springfield, GA 31329 | 2017-11-16 |
| Find all providers in zip 31329 | ||||
| Taxonomy Code | 251C00000X |
| Grouping | Agencies |
| Classification | Day Training, Developmentally Disabled Services |
| These agencies are authorized to provide day habilitation services to developmentally disabled individuals who live in their homes. The function of day habilitation is to assist an individual to acquire and maintain those life skills that enable the individual to cope more effectively with the demands of independent living. Also to raise the level of the individual's physical, mental, social, and vocational functioning. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1841719689 | The Arc of Union County, Inc. | Day Training, Developmentally Disabled Services | 70 Diamond Rd # Dcf, Springfield, NJ 07081-3119 | 2017-09-13 |
| 1730608571 | The Arc of Union County, Inc. | Day Training, Developmentally Disabled Services | 70 Diamond Rd # Supports, Springfield, NJ 07081-3119 | 2017-09-13 |
| 1528419769 | Weber Care Corporation | Day Training, Developmentally Disabled Services | 2520 Saint James Rd, Springfield, IL 62707-9736 | 2016-06-29 |
| 1801244363 | Land of Lincoln Goodwill Industries | Day Training, Developmentally Disabled Services | 1220 Outer Park Dr, Springfield, IL 62704-4409 | 2016-05-25 |
| 1952775058 | Springfield Developmental Center | Day Training, Developmentally Disabled Services | 4595 Laverna Rd, Springfield, IL 62707-9732 | 2015-11-30 |
| 1245610310 | The Arc of Union County | Day Training, Developmentally Disabled Services | 54 Fadem Rd, Springfield, NJ 07081-3116 | 2015-06-04 |
| 1427438597 | The Arc of Union County | Day Training, Developmentally Disabled Services | 60 Diamond Rd, Springfield, NJ 07081-3114 | 2015-06-04 |
| 1902286214 | The Arc of Union County | Day Training, Developmentally Disabled Services | 70 Diamond Rd, Springfield, NJ 07081-3119 | 2015-06-02 |
| 1558798322 | Sunshine Village, Inc. | Day Training, Developmentally Disabled Services | 585 E. Columbus Ave, Springfield, MA 01103 | 2013-10-10 |
| 1720383789 | Rivendale Learning Institue | Day Training, Developmentally Disabled Services | 1613 W Elfindate Road, Springfield, MO 65807 | 2011-01-21 |
| Find all providers in SPRINGFIELD | ||||
| City | SPRINGFIELD |
| Zip Code | 31329 |
Please comment or provide details below to improve the information on GATEWAY BEHAVIORAL HEALTH SERVICES.
| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.