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).
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. |
Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
---|---|---|---|---|---|
Y | 324500000X | Substance Abuse Rehabilitation Facility | A-0538-0019-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 |
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 |
Entity Type | Entity Name | Entity Address |
---|---|---|
Virginia Business Entities | Gateway Foundation Inc. | 55 E Jackson Blvd Ste 1500, Chicago, Illinois 60604-4184 |
Street Address |
2200 LAKE VICTORIA DR |
City | SPRINGFIELD |
State | IL |
Zip Code | 62703-5596 |
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 |
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 | 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 |
---|---|---|---|---|
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 |
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.