GATEWAY FOUNDATION, INC. (NPI# 1295984425) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1295984425 |
| Entity Type | Organization |
| Organization Name | GATEWAY FOUNDATION, INC. |
| Practice Address |
3828 W Taylor St 2nd Floor, East Chicago IL 60624-4027 |
| Mailing Address |
55 E Jackson Blvd Suite 1500 Chicago IL 60604-4466 |
| Practice Telephone | 7738261916 |
| Practice Fax Number | 7738262707 |
| Mailing Telephone | 3126631130 |
| Mailing Fax Number | 3126630504 |
| Enumeration Date | 2008-09-11 |
| Last Update Date | 2013-01-03 |
| Authorized Official Name | MR. MICHAEL DARCY (PRESIDENT & CEO) |
| Authorized Official Telephone | 3126631130 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 324500000X | Substance Abuse Rehabilitation Facility | C/A-0538-0028-A | IL | Residential Treatment Facilities |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1265056964 | Gateway Foundation, Inc. | Clinic/Center | 3040 Finley Rd, Downers Grove, IL 60515-5713 | 2020-05-29 |
| 1669025672 | Gateway Foundation, Inc. | Substance Abuse Rehabilitation Facility | 25480 W Cedar Crest Ln Bldg A, Lake Villa, IL 60046-9744 | 2019-07-18 |
| 1710482815 | Gateway Foundation, Inc. | Clinic/Center | 415 N Dearborn St Ste 510, Chicago, IL 60654-4626 | 2018-03-29 |
| 1487179057 | Gateway Foundation, Inc. | Clinic/Center | 1430 Olive St Ste 300, Saint Louis, MO 63103-2303 | 2017-08-04 |
| 1851740559 | Gateway Foundation, Inc. | Clinic/Center | 2323 Stevenson Dr, Springfield, IL 62703-4331 | 2016-06-03 |
| 1447650056 | Gateway Foundation, Inc. | Clinic/Center | 1706 N Kedzie Ave, Chicago, IL 60647-4910 | 2014-09-02 |
| 1053758193 | Gateway Foundation, Inc. | Clinic/Center | 1 Bronze Point, Suite 1, Swansea, IL 62226 | 2013-05-30 |
| 1720326846 | Gateway Foundation, Inc. | Clinic/Center | 444 N Orleans St, Chicago, IL 60654-4994 | 2013-01-24 |
| 1497017677 | Gateway Foundation, Inc. | Clinic/Center | 11 S Capitol St, Pekin, IL 61554-4106 | 2012-06-13 |
| 1679859326 | Gateway Foundation, Inc. | Substance Abuse Rehabilitation Facility | Onetiffany Point, Suite 110, Bloomingdale, IL 60108 | 2011-10-26 |
| Entity Type | Entity Name | Entity Address |
|---|---|---|
| System for Award Management (SAM) Entities | GATEWAY FOUNDATION, INC. | 4103 Lac Couture Dr, Harvey, LA 70058-6514 |
| Colorado Business Entities | Gateway Foundation, Inc. | 55 E. Jackson Blvd., Suite 1500, Chicago, IL 60604 |
| Massachusetts Corporations | GATEWAY FOUNDATION, INC. | 55 E. Jackson Blvd., Ste 1500, Chicago, IL 60604 |
| New York State Corporations | GATEWAY FOUNDATION, INC. | One Amy Kay Parkway, Po Box 1000c, Kingston, Ny 12401 |
| Ohio Business Entities | GATEWAY FOUNDATION, INC. | 55 East Jackson, Suite 1500, Chicago, IL 60604 |
| Indiana Business Entities | GATEWAY FOUNDATION, INCORPORATED | 55 E Jackson, Ste 1500, Chicago, IL 60604 |
| Street Address |
3828 W TAYLOR ST 2ND FLOOR, EAST |
| City | CHICAGO |
| State | IL |
| Zip Code | 60624-4027 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1790970689 | Stacy April Lott | Student in an Organized Health Care Education/Training Program | 3828 W Taylor St, Chicago, IL 60624-4027 | 2007-09-13 |
| 1790323186 | Gateway Professional Services, PC | Counselor | 3828 W Taylor St, Chicago, IL 60624-4027 | 2019-12-16 |
| 1205306560 | Aida Jusufovic | Counselor | 3828 W Taylor St, Chicago, IL 60624-4027 | 2018-11-29 |
| 1710455704 | Kerren Lloyd | Counselor | 3828 W Taylor St, Chicago, IL 60624-4027 | 2018-11-07 |
| 1982171922 | Michael Mahoney | Counselor | 3828 W Taylor St, Chicago, IL 60624-4027 | 2018-10-29 |
| 1013484070 | Ruben Morales | Counselor | 3828 W Taylor St, Chicago, IL 60624-4027 | 2018-10-29 |
| 1730654880 | Brenda Brown | Counselor | 3828 W Taylor St, Chicago, IL 60624-4027 | 2018-10-04 |
| 1801379771 | Angela Osting | Counselor | 3828 W Taylor St, Chicago, IL 60624-4027 | 2018-09-07 |
| 1326520420 | Gilbert Lichstein | Counselor | 3828 W Taylor St, Chicago, IL 60624-4027 | 2018-09-05 |
| 1063900926 | Tanika C Cook | Counselor | 3828 W Taylor St, Chicago, IL 60624-4027 | 2018-04-26 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1669071932 | Euginia Ivanova | Counselor | 3410 W. Roosevelt Rd, Chicago, IL 60624 | 2020-10-19 |
| 1629619572 | Denise R Bean | Technician | 3322 West Polk St, Chicago, IL 60624 | 2019-10-02 |
| 1033693742 | Ahmed Hussain Memon | Nurse Practitioner | 3800 West Madison, Chicago, IL 60624 | 2018-09-18 |
| 1487104006 | Jeffrey Blythe | Social Worker | 3605 W. Fillmore Street, Ucan, Chicago, IL 60624 | 2016-10-06 |
| 1366992216 | Brian Macwilliams | Social Worker | 3605 W. Fillmore St, Chicago, IL 60624 | 2016-10-04 |
| 1982151510 | Darryl Lamont Clayton | Counselor | 3605 W. Fillmore, Chicago, IL 60624 | 2016-09-01 |
| 1821487646 | Total Enrichment Services Inc. | Counselor | 3335 W Washington Blvd, Chicago, IL 60624 | 2015-01-16 |
| 1295038818 | Raad N Rashan M D S C | Internal Medicine | 3743 W Chicago Ave, Chicago, IL 60624 | 2010-12-21 |
| 1194044453 | Theresa Roberts | Speech-Language Pathologist | 3240 W. Franklin Blvd, Chicago, IL 60624 | 2010-05-26 |
| 1154570208 | Ht Outpatient Pharmacy | Pharmacy | 3435 W Vanburen St, Chicago, IL 60624 | 2008-09-13 |
| Find all providers in zip 60624 | ||||
| Taxonomy Code | 324500000X |
| Grouping | Residential Treatment Facilities |
| Classification | Substance Abuse Rehabilitation Facility |
| 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. |
| Notes: [7/1/2003: modified title, modified definition] |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1063989143 | Northwest Recovery Center LLC | Substance Abuse Rehabilitation Facility | 5352 N Lincoln Ave Ste 250, Chicago, IL 60625-2316 | 2018-10-26 |
| 1982182671 | Rosecrance, Inc. | Substance Abuse Rehabilitation Facility | 2835 N Sheffield Ave Ste 209, Chicago, IL 60657-5083 | 2018-08-03 |
| 1619453610 | Head Heart Therapy | Substance Abuse Rehabilitation Facility | 4809 N Ravenswood Ave Unit 227, Chicago, IL 60640-4417 | 2018-07-13 |
| 1891296802 | The Ids Group Chicago | Substance Abuse Rehabilitation Facility | 1117 N Ashland Ave, Chicago, IL 60622-3986 | 2018-02-25 |
| 1548774961 | Prentice Place | Substance Abuse Rehabilitation Facility | 255 W 112th Pl, Chicago, IL 60628-4132 | 2017-11-21 |
| 1821537739 | Cornerstone Recovering Community | Substance Abuse Rehabilitation Facility | 28 W 113th Pl, Chicago, IL 60628-4811 | 2017-02-13 |
| 1538608443 | Cornerstone Recovering Community | Substance Abuse Rehabilitation Facility | 44 W 112th Pl, Chicago, IL 60628-4806 | 2017-02-13 |
| 1093254906 | Cornerstone Recovering Community | Substance Abuse Rehabilitation Facility | 139 W 112th St, Chicago, IL 60628-4803 | 2017-02-13 |
| 1083152359 | Cornerstone Recovering Community | Substance Abuse Rehabilitation Facility | 103 W 112th St, Chicago, IL 60628-4803 | 2017-02-07 |
| 1336529858 | Rosecrance Inc | Substance Abuse Rehabilitation Facility | 1556 W. Waveland Avenue, Chicago, IL 60613-3601 | 2015-06-01 |
| Find all providers in CHICAGO | ||||
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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.