GATEWAY FOUNDATION INC. (NPI# 1053776203) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1053776203 |
| Entity Type | Organization |
| Organization Name | GATEWAY FOUNDATION INC. |
| Practice Address |
600 W Lincoln Ave Caseyville IL 62232-1329 |
| Mailing Address |
55 E Jackson Blvd Suite 1500 Chicago IL 60604-4466 |
| Practice Telephone | 8775054673 |
| Practice Fax Number | 6183454398 |
| Mailing Telephone | 3126631130 |
| Mailing Fax Number | 3126630504 |
| Enumeration Date | 2015-12-15 |
| Last Update Date | 2015-12-15 |
| Authorized Official Name | MR. THOMAS P BRITTON (PRESIDENT/CEO) |
| Authorized Official Telephone | 3126631130 |
| Authorized Official Credential | DRPH,LPC,LCAS,CC |
| Is Organization Subpart | Y |
| Parent Organization Name | GATEWAY FOUNDATION INC. |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 324500000X | Substance Abuse Rehabilitation Facility | A-0538-0031-A | IL | Residential Treatment Facilities |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1740725704 | Gateway Foundation Inc. | Clinic/Center | 222 S Greenleaf St, Gurnee, IL 60031-5705 | 2016-12-30 |
| 1689125924 | Gateway Foundation Inc. | Clinic/Center | 1419 Essington Rd, Joliet, IL 60435-2873 | 2016-10-21 |
| 1972968121 | Gateway Foundation Inc. | Clinic/Center | 3828 W Taylor St, Chicago, IL 60624-4027 | 2015-12-15 |
| 1699130849 | Gateway Foundation Inc. | Substance Abuse Rehabilitation Facility | 25480 W Cedar Crest Ln, Lake Villa, IL 60046-9744 | 2015-12-15 |
| 1417312661 | Gateway Foundation Inc. | Substance Abuse Rehabilitation Facility | 25480 W Cedar Crest Ln, Lake Villa, IL 60046-9744 | 2015-12-15 |
| 1508221755 | Gateway Foundation Inc. | Substance Abuse Rehabilitation Facility | 25480 W Cedar Crest Ln, Lake Villa, IL 60046-9744 | 2015-12-15 |
| 1144685397 | Gateway Foundation Inc. | Substance Abuse Rehabilitation Facility | 400 Mercy Ln, Aurora, IL 60506-2447 | 2015-12-15 |
| 1699130856 | Gateway Foundation Inc. | Substance Abuse Rehabilitation Facility | 2200 Lake Victoria Dr, Springfield, IL 62703-5596 | 2015-12-15 |
| 1922473354 | Gateway Foundation Inc. | Substance Abuse Rehabilitation Facility | 100 Sunnyside Rd, Pickett Building, 1st Floor, Smyrna, DE 19977-1752 | 2015-12-10 |
| 1477963247 | Gateway Foundation Inc. | Substance Abuse Rehabilitation Facility | 4049 Miller Way, Sacramento, CA 95817-1332 | 2014-05-02 |
| Entity Type | Entity Name | Entity Address |
|---|---|---|
| Virginia Business Entities | Gateway Foundation Inc. | 55 E Jackson Blvd Ste 1500, Chicago, Illinois 60604-4184 |
| Street Address |
600 W LINCOLN AVE |
| City | CASEYVILLE |
| State | IL |
| Zip Code | 62232-1329 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1396993820 | Gateway Foundation, Inc. | Clinic/Center | 600 W Lincoln Ave, Caseyville, IL 62232-1329 | 2008-09-09 |
| 1316585797 | Gateway Professional Services, PC | Counselor | 600 W Lincoln Ave, Caseyville, IL 62232-1329 | 2019-12-16 |
| 1043795263 | Frank Salisbury | Counselor | 600 W Lincoln Ave, Caseyville, IL 62232-1329 | 2018-10-03 |
| 1043793292 | Curtis D Osborne | Social Worker | 600 W Lincoln Ave, Caseyville, IL 62232-1329 | 2018-09-13 |
| 1891277786 | B Jo R Hughes | Counselor | 600 W Lincoln Ave, Caseyville, IL 62232-1329 | 2018-09-06 |
| 1831687839 | Tomika L Shorter | Counselor | 600 W Lincoln Ave, Caseyville, IL 62232-1329 | 2018-04-25 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1659850451 | Allison R Tojo | Counselor | Gateway Foundation, Inc., 600 W. Lincoln Avenue, Caseyville, IL 62232 | 2018-08-13 |
| 1265818025 | Jessica Penny | Developmental Therapist | 435 S 4th St, Caseyville, IL 62232 | 2015-08-04 |
| 1477849909 | Gateway Foundation, Inc. | Substance Abuse Rehabilitation Facility | 600 W. Lincoln Street, East, Caseyville, IL 62232 | 2011-06-23 |
| 1902909153 | Jean Evelyn Vogel Wagner | Pediatrics | 1230 George E Chance Parkway, Caseyville, IL 62232 | 2006-09-06 |
| 1215922000 | Mark Edward Mcgranahan | Pediatrics | 1230 George E. Chance Parkway, Caseyville, IL 62232 | 2005-09-16 |
| 1053577387 | A To Z Pediatrics, LLP | Pediatrics | 1230 George E. Chance Parkway, Caseyville, IL 62232 | 2008-08-06 |
| 1699884825 | Lori Lee Eberhart | Pediatrics | 1230 George E. Chance Parkway, Caseyville, IL 62232 | 2006-08-30 |
| 1811517360 | Shawna Renae Galonda Herndon | Massage Therapist | 16 E Reynolds St, Caseyville, IL 62232-1014 | 2020-04-24 |
| 1851889331 | Melissa Hill | Pediatrics | 1230 Tanglewood Pkwy, Caseyville, IL 62232-1101 | 2018-04-30 |
| 1407491319 | Joseph Daesch | Nurse Practitioner | 1230 Tanglewood Pkwy, Caseyville, IL 62232-1101 | 2019-11-14 |
| Find all providers in zip 62232 | ||||
| Taxonomy Code | 324500000X |
| Grouping | Residential Treatment Facilities |
| Classification | Substance Abuse Rehabilitation Facility |
| A facility or distinct part of a facility that provides a 24 hr therapeutically planned living and rehabilitative intervention environment for the treatment of individuals with disorders in the abuse of drugs, alcohol, and other substances. |
| Notes: [7/1/2003: modified title, modified definition] |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1477849909 | Gateway Foundation, Inc. | Substance Abuse Rehabilitation Facility | 600 W. Lincoln Street, East, Caseyville, IL 62232 | 2011-06-23 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1548860729 | New Gen Ed Inc. | Substance Abuse Rehabilitation Facility | 1219 N Gary Ave, Carol Stream, IL 60188-9028 | 2020-10-28 |
| 1578187886 | Silver Glen Road Opco LLC | Substance Abuse Rehabilitation Facility | 41w400 Silver Glen Rd, St Charles, IL 60175-8453 | 2020-06-02 |
| 1669025672 | Gateway Foundation, Inc. | Substance Abuse Rehabilitation Facility | 25480 W Cedar Crest Ln Bldg A, Lake Villa, IL 60046-9744 | 2019-07-18 |
| 1295390490 | Crossing Recovery Center | Substance Abuse Rehabilitation Facility | Crossing Recovery Center, 495 East Central Ave, Decatur, IL 62521 | 2019-05-03 |
| 1396300638 | Crossing Recovery Center | Substance Abuse Rehabilitation Facility | 495 E Central Ave, Decatur, IL 62521 | 2019-05-02 |
| 1679138911 | Crossing Recovery Center | Substance Abuse Rehabilitation Facility | 495 East Central Ave, Decatur, IL 62521 | 2019-05-02 |
| 1033673165 | Michael David Lauts | Substance Abuse Rehabilitation Facility | 215 E 25th St Apt 228, Sterling, IL 61081-1092 | 2019-01-23 |
| 1457829632 | Hope Behavioral Services At The Jeannine Brent Center Incorporated | Substance Abuse Rehabilitation Facility | 2319 Plainfield Rd, Crest Hill, IL 60403-1875 | 2018-11-06 |
| 1063989143 | Northwest Recovery Center LLC | Substance Abuse Rehabilitation Facility | 5352 N Lincoln Ave Ste 250, Chicago, IL 60625-2316 | 2018-10-26 |
| 1982182671 | Rosecrance, Inc. | Substance Abuse Rehabilitation Facility | 2835 N Sheffield Ave Ste 209, Chicago, IL 60657-5083 | 2018-08-03 |
| Find all providers with the same taxonomy | ||||
| City | CASEYVILLE |
| Zip Code | 62232 |
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| 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.