GATEWAY FOUNDATION, INC. (NPI# 1326296856) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1326296856 |
| Entity Type | Organization |
| Organization Name | GATEWAY FOUNDATION, INC. |
| Practice Address |
2200 Lake Victoria Dr Springfield IL 62703-5596 |
| Mailing Address |
55 E Jackson Blvd Suite 1500 Chicago IL 60604-4466 |
| Practice Telephone | 8775054673 |
| Practice Fax Number | 2175299151 |
| Mailing Telephone | 3126631130 |
| Mailing Fax Number | 3126630504 |
| Enumeration Date | 2008-09-09 |
| Last Update Date | 2018-09-24 |
| Authorized Official Name | RENEE ENNIS MCGEE (MANAGER) |
| Authorized Official Telephone | 6784454833 |
| Is Organization Subpart | Y |
| Parent Organization Name | GATEWAY FOUNDATION, INC. |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 261QM0801X |
Clinic/Center Specialization: Mental Health (Including Community Mental Health Center) |
A-0538-0019-A | IL | Ambulatory Health Care Facilities |
| N | 261QR0405X |
Clinic/Center Specialization: Rehabilitation, Substance Use Disorder |
A-0538-0019-A | IL | Ambulatory Health Care Facilities |
| N | 324500000X | Substance Abuse Rehabilitation Facility | Residential Treatment Facilities | ||
| Y | 3245S0500X |
Substance Abuse Rehabilitation Facility Specialization: Substance Abuse Treatment, Children |
A-0538-0019-A | IL | Residential Treatment Facilities |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1265056964 | Gateway Foundation, Inc. | Clinic/Center | 3040 Finley Rd, Downers Grove, IL 60515-5713 | 2020-05-29 |
| 1669025672 | Gateway Foundation, Inc. | Substance Abuse Rehabilitation Facility | 25480 W Cedar Crest Ln Bldg A, Lake Villa, IL 60046-9744 | 2019-07-18 |
| 1710482815 | Gateway Foundation, Inc. | Clinic/Center | 415 N Dearborn St Ste 510, Chicago, IL 60654-4626 | 2018-03-29 |
| 1487179057 | Gateway Foundation, Inc. | Clinic/Center | 1430 Olive St Ste 300, Saint Louis, MO 63103-2303 | 2017-08-04 |
| 1851740559 | Gateway Foundation, Inc. | Clinic/Center | 2323 Stevenson Dr, Springfield, IL 62703-4331 | 2016-06-03 |
| 1447650056 | Gateway Foundation, Inc. | Clinic/Center | 1706 N Kedzie Ave, Chicago, IL 60647-4910 | 2014-09-02 |
| 1053758193 | Gateway Foundation, Inc. | Clinic/Center | 1 Bronze Point, Suite 1, Swansea, IL 62226 | 2013-05-30 |
| 1720326846 | Gateway Foundation, Inc. | Clinic/Center | 444 N Orleans St, Chicago, IL 60654-4994 | 2013-01-24 |
| 1497017677 | Gateway Foundation, Inc. | Clinic/Center | 11 S Capitol St, Pekin, IL 61554-4106 | 2012-06-13 |
| 1679859326 | Gateway Foundation, Inc. | Substance Abuse Rehabilitation Facility | Onetiffany Point, Suite 110, Bloomingdale, IL 60108 | 2011-10-26 |
| Entity Type | Entity Name | Entity Address |
|---|---|---|
| System for Award Management (SAM) Entities | GATEWAY FOUNDATION, INC. | 4103 Lac Couture Dr, Harvey, LA 70058-6514 |
| Colorado Business Entities | Gateway Foundation, Inc. | 55 E. Jackson Blvd., Suite 1500, Chicago, IL 60604 |
| Massachusetts Corporations | GATEWAY FOUNDATION, INC. | 55 E. Jackson Blvd., Ste 1500, Chicago, IL 60604 |
| New York State Corporations | GATEWAY FOUNDATION, INC. | One Amy Kay Parkway, Po Box 1000c, Kingston, Ny 12401 |
| Ohio Business Entities | GATEWAY FOUNDATION, INC. | 55 East Jackson, Suite 1500, Chicago, IL 60604 |
| Vermont Business Registrations | GATEWAY FOUNDATION, INC. | No Principal Office, Brattleboro, VT 05302 |
| Indiana Business Entities | GATEWAY FOUNDATION, INCORPORATED | 55 E Jackson, Ste 1500, Chicago, IL 60604 |
| Street Address |
2200 LAKE VICTORIA DR |
| City | SPRINGFIELD |
| State | IL |
| Zip Code | 62703-5596 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1841816741 | Stephanie Forgas | Counselor | 2200 Lake Victoria Dr, Springfield, IL 62703-5596 | 2020-06-17 |
| 1285272591 | Gateway Professional Services, PC | Counselor | 2200 Lake Victoria Dr, Springfield, IL 62703-5596 | 2019-12-17 |
| 1679115349 | David Bova | Counselor | 2200 Lake Victoria Dr, Springfield, IL 62703-5596 | 2019-10-14 |
| 1063988491 | Gina Howard | Counselor | 2200 Lake Victoria Dr, Springfield, IL 62703-5596 | 2018-10-24 |
| 1255807871 | Jennie Mccormick | Counselor | 2200 Lake Victoria Dr, Springfield, IL 62703-5596 | 2018-10-22 |
| 1518456607 | Thomas J Beck | Counselor | 2200 Lake Victoria Dr, Springfield, IL 62703-5596 | 2018-05-04 |
| 1841788932 | Joshua M Becker | Counselor | 2200 Lake Victoria Dr, Springfield, IL 62703-5596 | 2018-04-25 |
| 1093203093 | Denise L Skinner | Counselor | 2200 Lake Victoria Dr, Springfield, IL 62703-5596 | 2018-04-25 |
| 1699130856 | Gateway Foundation Inc. | Substance Abuse Rehabilitation Facility | 2200 Lake Victoria Dr, Springfield, IL 62703-5596 | 2015-12-15 |
| 1518346568 | Clayton Gerald Parks | Internal Medicine | 2200 Lake Victoria Dr, Springfield, IL 62703-5596 | 2015-05-22 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1790260917 | Jessica Lynne Zeeck | Behavior Technician | 5220 6th Street Frontage Road, E Suite 1700, Springfield, IL 62703 | 2018-10-03 |
| 1215415799 | Bree Schmulbach | Nurse Practitioner | Bsb Room 20, Springfield, IL 62703 | 2018-08-06 |
| 1144712100 | Fresenius Medical Care Springfield East, LLC | Clinic/Center | 140 S. Martin Luther King Jr. Drive, Springfield, IL 62703 | 2018-06-05 |
| 1558889170 | Ji Woung Choi | Dentist | 687 E Linton Ave., Springfield, IL 62703 | 2017-09-04 |
| 1477006161 | Encompass Home Health of The Midwest,llc | Home Health | 2970 Baker Dr, Springfield, IL 62703 | 2016-07-28 |
| 1851706824 | Terah Louise Holland | Obstetrics & Gynecology | 1100 E Lincolnshire Blvd Ste 200, Springfield, IL 62703 | 2014-06-27 |
| 1578993101 | Corey Moore | Behavioral Analyst | 5520 South 6th Street Road, Suite 1700, Springfield, IL 62703 | 2013-11-18 |
| 1134463052 | The Center for Youth and Family Solutions Inc. | Voluntary or Charitable | 614 North Sixth Street, Springfield, IL 62703 | 2012-11-15 |
| 1447519111 | Tenshi Furumi | Specialist/Technologist | One University Plaza, Univ. of Illinois-springfield, Ms Rec 2004, Springfield, IL 62703 | 2012-05-15 |
| 1447558390 | Shalini Mulkanoor | Family Medicine | 1100 E. Lincolnshire Blvd., Suite 200, Springfield, IL 62703 | 2011-03-02 |
| Find all providers in zip 62703 | ||||
| Taxonomy Code | 3245S0500X |
| Grouping | Residential Treatment Facilities |
| Classification | Substance Abuse Rehabilitation Facility |
| Specialization | Substance Abuse Treatment, Children |
| A facility or distinct part of a facility that provides a 24 hr therapeutically planned living and rehabilitative intervention environment for the treatment of children with disorders in the use of drugs, alcohol, and other substances. Medical and supportive counseling services and education services are included. |
| Notes: [7/1/2003: new] |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1942338504 | Burrell, Inc. | Substance Abuse Rehabilitation Facility | 1949 E Cherry St, Springfield, MO 65802-2952 | 2007-03-02 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1740841840 | Avance Inc. | Substance Abuse Rehabilitation Facility | 4765 N Lincoln Ave, Chicago, IL 60625-2077 | 2019-06-28 |
| 1265966832 | Jacqueline Calles | Substance Abuse Rehabilitation Facility | 4904 W. 32nd St, Cicero, IL 60804 | 2017-04-20 |
| 1891001723 | Ford County Court Services | Substance Abuse Rehabilitation Facility | 200 W State St, Paxton, IL 60957-1179 | 2010-08-30 |
| 1558599803 | Rosecrance, Inc. | Substance Abuse Rehabilitation Facility | 215 N. Court Street, Methodist Church, Rockford, IL 61103-6802 | 2009-06-25 |
| 1508009234 | Woodford County | Substance Abuse Rehabilitation Facility | 105 E Court St, Eureka, IL 61530 | 2009-04-10 |
| 1326216151 | Lutheran Social Services of Illinois | Substance Abuse Rehabilitation Facility | 1261 Il Rte 38, Nachusa, IL 61057 | 2008-02-14 |
| 1275744385 | Lutheran Social Services of Illinois | Substance Abuse Rehabilitation Facility | 1261 Illinois Route# 38, Phoenix Unit, Nachusa, IL 61057-0100 | 2007-05-24 |
| 1386779445 | Gateway Foundation, Inc | Substance Abuse Rehabilitation Facility | 55 E Jackson Blvd, Suite 1500, Chicago, IL 60604-4466 | 2007-02-22 |
| 1841249372 | Nexus Family Healing | Substance Abuse Rehabilitation Facility | 118 East Lincoln Street, Onarga, IL 60955 | 2006-05-10 |
| 1366431686 | Chestnut Health Systems Inc | Substance Abuse Rehabilitation Facility | 1003 Martin Luther King Dr, Bloomington, IL 61701-1429 | 2005-10-19 |
| Find all providers with the same taxonomy | ||||
| City | SPRINGFIELD |
| Zip Code | 62703 |
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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.