GATEWAY BEHAVIORAL HEALTH SERVICES NPI 1740313501

NPI Information

  • NPI: 1740313501
  • Provider Name: GATEWAY BEHAVIORAL HEALTH SERVICES
  • Classification: Community Based Residential Treatment Facility, Intellectual and/or Developmental Disabilities - 320900000X
  • Entity Type: Organization
  • Doing Business As: 51ST STREET GROUP HOME
  • Address: 1915 EAST 51ST STREET
    SAVANNAH, GA
    ZIP 31404
  • Phone: (912) 353-3089

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NPI Details

GATEWAY BEHAVIORAL HEALTH SERVICES is a community based residential treatment facility, intellectual and/or developmental disabilities in Savannah, GA. The provider is a home-like residential facility providing habilitation, support and monitoring services to individuals diagnosed with mental retardation and/or developmental disabilities. GATEWAY BEHAVIORAL HEALTH SERVICES NPI is 1740313501. The provider is registered as an organization entity type.
The provider Is Doing Business As 51st Street Group Home.

The provider's business location address is:

1915 EAST 51ST STREET
SAVANNAH, GA
ZIP 31404
Phone: (912) 353-3089
Fax: (912) 351-6490

The provider's authorized official is William Parks .
The authorized official title is Chief Financial Officer and has the following contact phone number (912) 554-8464.

The enumeration date for this NPI number is 3/13/2007 and was last updated on 3/4/2009.

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 Disabilities025011408GEORGIAYes

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
1000622553MMEDICAIDGEORGIA

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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