GATEWAY BEHAHVIORAL HEALTH SERVICES


Address: 700 Coastal Village Dr, Brunswick, GA 31520-1974
Phone: 9125548510

GATEWAY BEHAHVIORAL HEALTH SERVICES (NPI# 1912271461) 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) 1912271461
Entity Type Organization
Organization Name GATEWAY BEHAHVIORAL HEALTH SERVICES
Other Organization Name GLYNN PINEHAVEN GROUP HOME
Practice Address 700 Coastal Village Dr
Brunswick
GA 31520-1974
Mailing Address 727 Pine Haven Cir
Brunswick
GA 31525-9567
Practice Telephone 9125548510
Enumeration Date 2012-03-01
Last Update Date 2012-03-01
Authorized Official Name MRS. RACHEL SKINNER (DIRECTOR OF REIMBURSEMENT)
Authorized Official Telephone 9125548498
Is Organization Subpart N

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
Y 320900000X Community Based Residential Treatment, Mental Retardation and/or Developmental Disabilities 063-01-035-2 GA Residential Treatment Facilities

Other Provider Identifier

State Issuer Identifier Type Code
GA 000622553BI 05

Other Provider/Organization Names

Other Name Type Code
Glynn Pinehaven Group Home Other Name - Individual/Organization

Other Provider IDs and Locations

NPI Name Taxonomy Address Enumeration
1730743626 Gateway Behahvioral Health Services Community/Behavioral Health 601 E 66th St, Savannah, GA 31405-4519 2019-04-25

Office Location

Street Address 700 COASTAL VILLAGE DR
City BRUNSWICK
State GA
Zip Code 31520-1974

Providers in the same location

NPI Name Taxonomy Address Enumeration
1427237015 David Scott Deuser Psychiatry & Neurology 700 Coastal Village Dr, Brunswick, GA 31520-1974 2007-10-31
1962009720 Kimberly Claire Bell Nurse Practitioner 700 Coastal Village Dr, Brunswick, GA 31520-1974 2020-10-05
1225481666 Emily Reed Social Worker 700 Coastal Village Dr, Brunswick, GA 31520-1974 2016-07-21
1669825014 Eboni Robinson Counselor 700 Coastal Village Dr, Brunswick, GA 31520-1974 2016-07-21
1336591031 Diane Hall Counselor 700 Coastal Village Dr, Brunswick, GA 31520-1974 2016-07-06
1316398779 Sandra Jacobs Counselor 700 Coastal Village Dr, Brunswick, GA 31520-1974 2016-06-28
1851742647 Chad Carpenter Registered Nurse 700 Coastal Village Dr, Brunswick, GA 31520-1974 2016-06-23
1477901890 Jennifer Jackson Registered Nurse 700 Coastal Village Dr, Brunswick, GA 31520-1974 2016-05-26
1700233129 Cristi Anderson Registered Nurse 700 Coastal Village Dr, Brunswick, GA 31520-1974 2016-05-16
1215383179 Daniel Goss Registered Nurse 700 Coastal Village Dr, Brunswick, GA 31520-1974 2016-05-10
Find all providers in the same location

Providers in the same zip code

NPI Name Taxonomy Address Enumeration
1760953434 David S Deuser Md & Associates PC Psychiatry & Neurology 7 Saint Andrews Court, Brunswick, GA 31520 2018-12-06
1063961845 Irene Limon Licensed Practical Nurse 2009 Ellis Street, Brunswick, GA 31520 2016-09-22
1770936551 Elaine Latimer-tandy Counselor 1801 Gloucester St Ste E, Brunswick, GA 31520 2016-07-18
1710336326 Giva, Inc. Home Health 8 St Andrews Court, Brunswick, GA 31520 2016-06-06
1447618525 Parmelee Eye Care LLC Point of Service 1909 Gloucester St, Brunswick, GA 31520 2016-02-04
1578947800 Holly Diskin Kinsey Nurse Practitioner 3400 Parkwood Drive, Brunswick, GA 31520 2015-07-16
1679976419 Miriam Hosey Registered Nurse 2747 Fourth Street, Glynn County Health Dept., Brunswick, GA 31520 2014-10-08
1558779348 Tracey Renee Price Internal Medicine 3025 Shrine Rd Ste 290, Brunswick, GA 31520 2014-07-24
1770901951 Candace Shepherd Social Worker 707 F Street, Brunswick, GA 31520 2014-04-03
1699193599 Enrique Martinez, M.d., P.C. Internal Medicine 3114 A Shrine Road, Brunswick, GA 31520 2014-03-29
Find all providers in zip 31520

Taxonomy Information

Taxonomy Code 320900000X
Grouping Residential Treatment Facilities
Classification Community Based Residential Treatment, Mental Retardation and/or Developmental Disabilities

Taxonomy Definition

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]

Providers in the same taxonomy and city

NPI Name Taxonomy Address Enumeration
1629617477 Compass Bridges LLC Community Based Residential Treatment, Mental Retardation and/or Developmental Disabilities 14 Arrowhead Dr, Brunswick, ME 04011-7420 2019-12-26
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
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
1306970207 Gateway Behavioral Health Services Community Based Residential Treatment, Mental Retardation and/or Developmental Disabilities 727 Pine Haven Circle, Brunswick, GA 31520 2007-03-15
1902939325 Gateway Behavioral Health Services Community Based Residential Treatment, Mental Retardation and/or Developmental Disabilities 111 Frazier Street, Brunswick, GA 31525 2007-03-14
1124151980 Gateway Behavioral Health Services Community Based Residential Treatment, Mental Retardation and/or Developmental Disabilities 107 Baybridge Dr, Brunswick, GA 31525-1818 2007-03-13
1609909498 Gateway Behavioral Health Services Community Based Residential Treatment, Mental Retardation and/or Developmental Disabilities 115 Frazier Road, Brunswick, GA 31525 2007-03-13
1306979000 Gateway Behavioral Health Services Community Based Residential Treatment, Mental Retardation and/or Developmental Disabilities 119 Hidden Lakes Drive, Brunswick, GA 31525 2007-03-13
1568500585 Pathways of Maine, Inc. Community Based Residential Treatment, Mental Retardation and/or Developmental Disabilities 16 Burbank Ave, Brunswick, ME 04011-2878 2007-02-02
1255606810 Gateway Behavioral Health Services Community Based Residential Treatment, Mental Retardation and/or Developmental Disabilities 700 Coastal Village Dr, Brunswick, GA 31520-1974 2012-03-15
Find all providers in BRUNSWICK

Competitor

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City BRUNSWICK
Zip Code 31520

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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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