GATEWAY FOUNDATION INC.


Address: 2200 Lake Victoria Dr, Springfield, IL 62703-5596
Phone: 8775054673

GATEWAY FOUNDATION INC. (NPI# 1699130856) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).

Provider Overview

Nation Provider ID (NPI) 1699130856
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 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.

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
Y 324500000X Substance Abuse Rehabilitation Facility A-0538-0019-A IL Residential Treatment Facilities

Other Provider IDs and Locations

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
1053776203 Gateway Foundation Inc. Substance Abuse Rehabilitation Facility 600 W Lincoln Ave, Caseyville, IL 62232-1329 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

Other Data Sources

Entity Type Entity Name Entity Address
Virginia Business Entities Gateway Foundation Inc. 55 E Jackson Blvd Ste 1500, Chicago, Illinois 60604-4184

Office Location

Street Address 2200 LAKE VICTORIA DR
City SPRINGFIELD
State IL
Zip Code 62703-5596

Providers in the same location

NPI Name Taxonomy Address Enumeration
1326296856 Gateway Foundation, Inc. Clinic/Center 2200 Lake Victoria Dr, Springfield, IL 62703-5596 2008-09-09
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
1518346568 Clayton Gerald Parks Internal Medicine 2200 Lake Victoria Dr, Springfield, IL 62703-5596 2015-05-22
Find all providers in the same location

Providers in the same zip code

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
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Taxonomy Information

Taxonomy Code 324500000X
Grouping Residential Treatment Facilities
Classification Substance Abuse Rehabilitation Facility

Taxonomy Definition

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]

Providers in the same taxonomy and city

NPI Name Taxonomy Address Enumeration
1457892978 New Life Hope Recovery Coummunity Substance Abuse Rehabilitation Facility 1301 S Yellow Springs St, Springfield, OH 45506-2542 2017-03-16
1821549122 Preferred Family Healthcare, Inc Substance Abuse Rehabilitation Facility 2415 W Catalpa St, Springfield, MO 65807-1123 2016-10-21
1598931537 Sigma House of Springfield, Inc. Substance Abuse Rehabilitation Facility 800 S Park Ave, Springfield, MO 65802-4855 2008-04-30
1609900265 Preferred Family Healthcare, Inc. Substance Abuse Rehabilitation Facility 2411 W Catalpa St, Springfield, MO 65807-1123 2007-03-15
1659411171 Ysi Springfield Academy Substance Abuse Rehabilitation Facility 709 6th St, Springfield, SD 57062 2007-02-07
1245341684 Sangamon-menard Alcoholsim and Drugs Council Substance Abuse Rehabilitation Facility 120 N 11th St, Springfield, IL 62703-1002 2006-08-31
1013961945 Mckinley Hall, Inc. Substance Abuse Rehabilitation Facility 2624 Lexington Ave, Springfield, OH 45505 2006-05-22
1851779714 Preferred Family Healthcare Substance Abuse Rehabilitation Facility 2411 W Catalpa St, Springfield, MO 65807-1123 2015-05-12
1689870107 Alternative Opportunities, Inc. Substance Abuse Rehabilitation Facility 2626 W College Rd, Springfield, MO 65802-4637 2007-06-22
1518085638 Personal Counseling Services Substance Abuse Rehabilitation Facility 2659 Farragut Dr, Springfield, IL 62704-1459 2007-03-27
Find all providers in SPRINGFIELD

Competitor

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City SPRINGFIELD
Zip Code 62703

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Dataset Information

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.

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