GATEWAY DETOXIFICATION, INC (NPI# 1326234519) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1326234519 |
| Entity Type | Organization |
| Organization Name | GATEWAY DETOXIFICATION, INC |
| Practice Address |
401 Se 23rd Ave Boynton Beach FL 33435-7289 |
| Mailing Address |
660 Linton Blvd Suite 112 Delray Beach FL 33444-8167 |
| Practice Telephone | 5612654031 |
| Practice Fax Number | 5612654091 |
| Mailing Telephone | 5612654031 |
| Mailing Fax Number | 5612654091 |
| Enumeration Date | 2007-09-20 |
| Last Update Date | 2007-09-20 |
| Authorized Official Name | MR. MICHAEL A MELICHAR (CEO/PROGRAM DIRECTOR) |
| Authorized Official Telephone | 5612654031 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 276400000X | Rehabilitation, Substance Use Disorder Unit | Hospital Units |
| Street Address |
401 SE 23RD AVE |
| City | BOYNTON BEACH |
| State | FL |
| Zip Code | 33435-7289 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1649824186 | Sarah Gostich | Podiatrist | 2815 S Searest Blvd, Boynton Beach, FL 33435 | 2019-08-01 |
| 1104487768 | Amira Nabil Halim Ibrahim | Student in an Organized Health Care Education/Training Program | Florida Atlantic University Medicine-bethesda Hospital, 2623 S Seacrest Blvd, Boynton Beach, FL 33435 | 2019-06-25 |
| 1972064491 | Elizabeth Anita Calhoun | Emergency Medicine | Bethesda Hospital East, 2815 S. Seacrest Blvd., Boynton Beach, FL 33435 | 2019-03-27 |
| 1164983086 | Thomas Rex Peterson | Emergency Medicine | Fau Emergency Medicine, Bethesda Hospital East, Attn: Joanne Daly, 2815 S. Seacrest Blvd., Boynton Beach, FL 33435 | 2019-03-26 |
| 1033686068 | Valery L. Petit-homme | Behavior Technician | 515 Se 20th Ave, Apt 10a, Boynton Beach, FL 33435 | 2018-10-29 |
| 1104391648 | Summit Detox | Psychiatry & Neurology | 3330 S. Federal Highway, 3rd Floor, Boynton Beach, FL 33435 | 2018-10-11 |
| 1184120008 | Zachariah Hatoum | Student in an Organized Health Care Education/Training Program | 2815 South Seacrest Blvd., Gme Suite Lower Level B, Boynton Beach, FL 33435 | 2018-03-30 |
| 1922503135 | Anneka Mariesha Hutton | Student in an Organized Health Care Education/Training Program | 2623 South Seacrest Boulevard, Florida Atlantic University Medicine At Bethesda Hospit, Boynton Beach, FL 33435 | 2018-03-28 |
| 1477079473 | Benezon LLC | Case Management | 609 Manatee Bay Drive, Boynton Beach, FL 33435 | 2017-08-21 |
| 1750814091 | Maria Mijares | Student in an Organized Health Care Education/Training Program | 2623 South Seacrest Blvd., Suite 100, Fau Medicine At Bhe, Boynton Beach, FL 33435 | 2017-04-04 |
| Find all providers in zip 33435 | ||||
| Taxonomy Code | 276400000X |
| Grouping | Hospital Units |
| Classification | Rehabilitation, Substance Use Disorder Unit |
| A distinct part of a hospital that provides medically monitored, interdisciplinary addiction-focused treatment to patients/clients who have psychoactive substance use disorders (commonly referred to as alcohol and drug abuse or substance abuse.) |
| Notes: Source: Department of Defense Regulation 6010.8-R, Chapter 6. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1386295095 | Liderazgo Y Estilo De Vida, Inc | Rehabilitation, Substance Use Disorder Unit | 116 N 22nd St, Haines City, FL 33844-4947 | 2019-09-24 |
| 1386941110 | Palm Beach Rehabilitation & Medical Center | Rehabilitation, Substance Use Disorder Unit | 4524 Gun Club Rd, Suite 211, West Palm Beach, FL 33415-2890 | 2011-02-14 |
| 1639498330 | Bernex Fleurinor | Rehabilitation, Substance Use Disorder Unit | 3101 Port Royale Blvd, Apt 1435, Fort Lauderdale, FL 33308-7810 | 2010-05-20 |
| 1316107089 | K3d Industries, LLC | Rehabilitation, Substance Use Disorder Unit | 1780 Nw 52nd Ave, Lauderhill, FL 33313-7811 | 2008-06-16 |
| 1669039061 | Premiere Addiction Recovery, LLC | Rehabilitation, Substance Use Disorder Unit | 225 N Burnett Rd, Cocoa, FL 32926-4242 | 2019-05-22 |
| 1558810721 | Detox of Delray, LLC | Rehabilitation, Substance Use Disorder Unit | 4800 Linton Blvd, C, Delray Beach, FL 33445-6584 | 2016-09-28 |
| City | BOYNTON BEACH |
| Zip Code | 33435 |
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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.