GATEWAY FOUNDATION, INC. (NPI# 1669025672) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1669025672 |
| Entity Type | Organization |
| Organization Name | GATEWAY FOUNDATION, INC. |
| Practice Address |
25480 W Cedar Crest Ln Bldg A Lake Villa IL 60046-9744 |
| Mailing Address |
55 E Jackson Blvd Ste 1500 Chicago IL 60604-4184 |
| Practice Telephone | 8473568205 |
| Practice Fax Number | 8473563033 |
| Mailing Telephone | 3126631130 |
| Mailing Fax Number | 3126630504 |
| Enumeration Date | 2019-07-18 |
| Last Update Date | 2019-07-18 |
| 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 |
|---|---|---|---|---|---|
| Y | 324500000X | Substance Abuse Rehabilitation Facility | 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 |
| 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 |
| 1477849909 | Gateway Foundation, Inc. | Substance Abuse Rehabilitation Facility | 600 W. Lincoln Street, East, Caseyville, IL 62232 | 2011-06-23 |
| 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 |
| Indiana Business Entities | GATEWAY FOUNDATION, INCORPORATED | 55 E Jackson, Ste 1500, Chicago, IL 60604 |
| Street Address |
25480 W CEDAR CREST LN BLDG A |
| City | LAKE VILLA |
| State | IL |
| Zip Code | 60046-9744 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1962021287 | Kathryn Anne Harper | Physical Therapist | 7900 Rollins Road, Lake Villa, ID 60046 | 2020-04-16 |
| 1508346263 | Milennium Medical Ltd | Nurse Practitioner | 2866 Falling Waters, Lindenhurst, IL 60046 | 2018-08-21 |
| 1497264121 | Gail Truger | Speech-Language Pathologist | 24750 W. Dering Lane, Lake Villa, IL 60046 | 2017-09-26 |
| 1104345669 | Tobias V Schirmer | Speech-Language Pathologist | Palombi Middle School, 133 South Mckinley, Lake Villa, IL 60046 | 2017-09-15 |
| 1699163410 | Daniel Aron Goldberg | Psychologist | 600 West Grand Avenue, Lake Villa, IL 60046 | 2014-12-31 |
| 1962838946 | Kendall Barber | Physical Therapist | 50 S Milwaukee Ave Ste 201, Lake Villa, IL 60046 | 2013-09-23 |
| 1790045284 | Illinois Bone and Joint Institute LLC | Orthopaedic Surgery | 1025 Red Oak Lane, Suite 100, Lindenhurst, IL 60046 | 2012-05-18 |
| 1548534977 | Daniela Cvetkova | Counselor | 3021 Falling Waters, Lindenhurst, IL 60046 | 2012-03-02 |
| 1225310568 | Dimitrios George Tsakos | Pharmacist | 399 South Route 45, Lindenhurst, IL 60046 | 2011-09-13 |
| 1285933085 | Abigail Jean Bradley | Developmental Therapist | 87 Bridlepath Drive, Lindenhurst, IL 60046 | 2011-03-18 |
| Find all providers in zip 60046 | ||||
| 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 |
|---|---|---|---|---|
| 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 |
| 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 |
| 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 |
| 1619453610 | Head Heart Therapy | Substance Abuse Rehabilitation Facility | 4809 N Ravenswood Ave Unit 227, Chicago, IL 60640-4417 | 2018-07-13 |
| Find all providers with the same taxonomy | ||||
| City | LAKE VILLA |
| Zip Code | 60046 |
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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.