GATEWAY FOUNDATION INC. NPI 1699924183

NPI Information

NPI: 1699924183
Provider Name: GATEWAY FOUNDATION, INC.
Classification: Substance Abuse Rehabilitation Facility - 324500000X
Entity Type: Organization
Address:
400 MERCY LN
SOUTHEAST
AURORA, IL
ZIP 60506
Phone: (630) 966-7400
Get Directions

GATEWAY FOUNDATION, INC. is a substance abuse rehabilitation facility in Aurora, IL. The provider is 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. GATEWAY FOUNDATION, INC. NPI is 1699924183. The provider is registered as an organization entity type.

The provider's business location address is:

400 MERCY LN
SOUTHEAST
AURORA, IL
ZIP 60506-447
Phone: (630) 966-7400
Fax: (630) 966-8565

The provider's authorized official is Renee Ennis Mcgee .
The authorized official title is Manager and has the following contact phone number (678) 445-4833.

The enumeration date for this NPI number is 9/9/2008 and was last updated on 9/24/2018.

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
1	261QR0405X	Clinic/Center	Rehabilitation, Substance Use Disorder	A-0538-0036-A		No
2	324500000X	Substance Abuse Rehabilitation Facility		C/A-0538-0036-A	ILLINOIS	Yes

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
1	=========020	MEDICAID	ILLINOIS

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: 11/14/2023

NPI Synchronization or Removal

All materials and services on this site are provided on an "as is" and "as available" basis without warranty of any kind. The NPI record is maintained by the National Plan & Provider Enumeration System (NPPES) and anyone may request this information and other NPPES health care provider data from HHS under The Freedom of Information Act (FOIA), Title 5 of the United States Code, section 552. To update the NPI records please contact the NPPES.

« Previous NPI

Next NPI »