GATE-WAY CORPORATION NPI 1235294737

NPI Information

  • NPI: 1235294737
  • Provider Name: GATE-WAY CORPORATION
  • Classification: Community Based Residential Treatment Facility, Intellectual and/or Developmental Disabilities - 320900000X
  • Entity Type: Organization
  • Doing Business As: GALAXY COURT
  • Address: 4 GALAXY CT
    DURHAM, NC
    ZIP 27705
  • Phone: (919) 479-6917

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NPI Details

GATE-WAY CORPORATION is a community based residential treatment facility, intellectual and/or developmental disabilities in Durham, NC. The provider is a home-like residential facility providing habilitation, support and monitoring services to individuals diagnosed with mental retardation and/or developmental disabilities. GATE-WAY CORPORATION NPI is 1235294737. The provider is registered as an organization entity type.
The provider Is Doing Business As Galaxy Court.

The provider's business location address is:

4 GALAXY CT
DURHAM, NC
ZIP 27705-768
Phone: (919) 479-6917
Fax: (919) 479-6917

The provider's authorized official is Freddie L. Williams .
The authorized official title is Director and has the following contact phone number (919) 479-6917.

The enumeration date for this NPI number is 12/26/2006 and was last updated on 8/22/2020.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No. Taxonomy Code Taxonomy Clasification Taxonomy Specialization License Number License State Primary
1320900000XCommunity Based Residential Treatment Facility, Intellectual and/or Developmental DisabilitiesMHL-032-296NORTH CAROLINAYes

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No. Other Provider Identifier Other Provider Identifier Type Other Provider Identifier State Other Provider Identifier Issuer
16603530MEDICAIDNORTH CAROLINA
2H2219OTHERNORTH CAROLINADSS NUMBER

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 3/30/2025

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