GATEWAY BEHAVIORAL HEALTH SERVICES (NPI# 1720111040) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1720111040 |
| Entity Type | Organization |
| Organization Name | GATEWAY BEHAVIORAL HEALTH SERVICES |
| Other Organization Name | GATEWAY BHS - CHATHAM SEA PALMS GH |
| Practice Address |
148 Sea Palms Road Savannah GA 31410 |
| Mailing Address |
700 Coastal Village Dr Suite 102 Brunswick GA 31520-1974 |
| Practice Telephone | 9128983340 |
| Practice Fax Number | 9128976693 |
| Mailing Telephone | 9125548510 |
| Mailing Fax Number | 9122645965 |
| Enumeration Date | 2007-03-14 |
| Last Update Date | 2011-10-20 |
| Authorized Official Name | MR. WILLIAM PARKS (CHIEF FINANCIAL OFFICER) |
| Authorized Official Telephone | 9125548464 |
| Authorized Official Credential | CPA CFO |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 320900000X | Community Based Residential Treatment, Mental Retardation and/or Developmental Disabilities | 025011958 | GA | Residential Treatment Facilities |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| GA | 000622553BB | 05 |
| Other Name | Type Code |
|---|---|
| Gateway BHS - Chatham Sea Palms GH | Other Name - Individual/Organization |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1295373090 | Gateway Behavioral Health Services | Community/Behavioral Health | 2121 East Derenne Ave, Savannah, GA 31406 | 2019-12-12 |
| 1619519709 | Gateway Behavioral Health Services | Community Based Residential Treatment, Mental Retardation and/or Developmental Disabilities | 516 Freedom Trl, Brunswick, GA 31525-4712 | 2019-10-10 |
| 1902451693 | Gateway Behavioral Health Services | Community/Behavioral Health | 210 E 15th St Ste A, Woodbine, GA 31569-5501 | 2019-08-08 |
| 1497042303 | Gateway Behavioral Health Services | Community/Behavioral Health | 2 Lodge Rd, Hwy 17 North, Brunswick, GA 31525-2011 | 2011-06-30 |
| 1366737330 | Gateway Behavioral Health Services | Community/Behavioral Health | 3441 Cypress Mill Rd, Brunswick, GA 31520-2878 | 2011-06-17 |
| 1750672242 | Gateway Behavioral Health Services | Community Based Residential Treatment, Mental Retardation and/or Developmental Disabilities | 6055 New Jesup Hwy, Brunswick, GA 31523-1629 | 2011-05-02 |
| 1497054522 | Gateway Behavioral Health Services | Counselor | 3 Oglethorpe Professional Blvd, Savannah, GA 31406-3603 | 2011-03-15 |
| 1124254321 | Gateway Behavioral Health Services | Community Based Residential Treatment Facility, Mental Illness | 121 Burgess Rd, Brunswick, GA 31523-9311 | 2009-06-03 |
| 1558595983 | Gateway Behavioral Health Services | Community/Behavioral Health | 3045 Scarlett Street, Brunswick, GA 31520-1251 | 2009-05-13 |
| 1356587224 | Gateway Behavioral Health Services | Counselor | 515 E. 63rd Street, Suite 1, Savannah, GA 31405 | 2008-12-26 |
| Entity Type | Entity Name | Entity Address |
|---|---|---|
| System for Award Management (SAM) Entities | GATEWAY BEHAVIORAL HEALTH SERVICES | 600 Coastal Village Dr, Brunswick, GA 31520-1973 |
| Street Address |
148 SEA PALMS ROAD |
| City | SAVANNAH |
| State | GA |
| Zip Code | 31410 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1144708249 | Madison Allee Horton | Physical Therapist | 461 Johnny Mercer Blvd Ste C2, Savannah, GA 31410 | 2018-07-31 |
| 1740706449 | Stacy Jane Slaght | General Practice | 151 Three Mast Ct, Savannah, GA 31410 | 2017-08-15 |
| 1851816631 | Mary Elizabeth Pennington | Physical Therapy Assistant | 702 Leaning Oaks Dr, Savannah, GA 31410 | 2017-08-14 |
| 1568901353 | Islands Chiropractic Clinic | Health Maintenance Organization | 461 Johnny Mercer Blvd. Suite3, Savannah, GA 31410 | 2017-02-14 |
| 1033598479 | Erica Blaikie Young | Family Medicine | 51 Johnny Mercer Blvd. Cottage A-1, Savannah, GA 31410 | 2015-05-19 |
| 1013257344 | Stephanie Denise Tootle | Obstetrics & Gynecology | 1004 Memorial Ln Ste 500, Savannah, GA 31410 | 2013-02-23 |
| 1275837791 | Johane Cam Harrigan | Clinic/Center | 124 Ropemaker Lane, 124 Rpemaker Lane, Savannah, GA 31410 | 2010-12-23 |
| 1497085385 | Kelli Suzanne Littlefield | Counselor | 100 Blue Fin Cir Ste 4, Savannah, GA 31410 | 2009-12-28 |
| 1265576201 | Whitemarsh Chiropractic Center, PC | Chiropractor | 115-a Charlotte Road, Savannah, GA 31410 | 2007-02-15 |
| 1194864397 | Karl J Coxhead | Chiropractor | 483 Johnny Mercer Boulevard, Savannah, GA 31410 | 2007-02-05 |
| Find all providers in zip 31410 | ||||
| Taxonomy Code | 320900000X |
| Grouping | Residential Treatment Facilities |
| Classification | Community Based Residential Treatment, Mental Retardation and/or Developmental Disabilities |
| A home-like residential facility providing habilitation, support and monitoring services to individuals diagnosed with mental retardation and/or developmental disabilities. |
| Notes: [7/1/2003: new] |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1801403050 | Safe Haven Personal Care Home | Community Based Residential Treatment, Mental Retardation and/or Developmental Disabilities | 10875 Abercorn St Apt 132, Savannah, GA 31419-1843 | 2020-09-30 |
| 1891181335 | First Lady Residential Service LLC | Community Based Residential Treatment, Mental Retardation and/or Developmental Disabilities | 401 Barnhill Dr, Savannah, GA 31406-5912 | 2015-04-10 |
| 1790032480 | Service Provider Solutions, LLC | Community Based Residential Treatment, Mental Retardation and/or Developmental Disabilities | 1224 Charleston Ln, Savannah, TX 76227-7819 | 2012-08-13 |
| 1497015366 | Jasmine Personal Care Home, Inc. | Community Based Residential Treatment, Mental Retardation and/or Developmental Disabilities | 25 Canterbury Cir, Savannah, GA 31419-2700 | 2012-05-24 |
| 1689997496 | Encare, LLC | Community Based Residential Treatment, Mental Retardation and/or Developmental Disabilities | 1725 E 32nd St, Savannah, GA 31404-2333 | 2010-03-08 |
| 1992839567 | Gateway Behavioral Health Services | Community Based Residential Treatment, Mental Retardation and/or Developmental Disabilities | 1221 E. 59th Street, Savannah, GA 31404 | 2007-03-15 |
| 1770616104 | Gateway Behavioral Health Services | Community Based Residential Treatment, Mental Retardation and/or Developmental Disabilities | 121 Palmetto Bay Rd, Savannah, GA 31410-2642 | 2007-03-14 |
| 1215060918 | Gateway Behavioral Health Services | Community Based Residential Treatment, Mental Retardation and/or Developmental Disabilities | 6729 Key Street, Savannah, GA 31406 | 2007-03-13 |
| 1043343015 | Gateway Behavioral Health Services | Community Based Residential Treatment, Mental Retardation and/or Developmental Disabilities | 12509 Bridlewood Dr, Savannah, GA 31419-2639 | 2007-03-13 |
| 1487787255 | Gateway Behavioral Health Services | Community Based Residential Treatment, Mental Retardation and/or Developmental Disabilities | 2120 Vermont Avenue, Savannah, GA 31404 | 2007-03-13 |
| Find all providers in SAVANNAH | ||||
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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.