GATEWAY COMMUNITY SERVICES INC (NPI# 1356305338) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1356305338 |
| Entity Type | Organization |
| Organization Name | GATEWAY COMMUNITY SERVICES INC |
| Practice Address |
555 Stockton St Jacksonville FL 32204-2534 |
| Practice Telephone | 9043874661 |
| Practice Fax Number | 9043845753 |
| Mailing Telephone | 9043874661 |
| Mailing Fax Number | 9043845753 |
| Enumeration Date | 2006-04-14 |
| Last Update Date | 2008-05-22 |
| Authorized Official Name | MR. RANDY JENNINGS (SR. VP OPERATIONS) |
| Authorized Official Telephone | 9043874661 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 324500000X | Substance Abuse Rehabilitation Facility | 0416AD182816 | FL | Residential Treatment Facilities |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| FL | 060594800 | 05 |
| Street Address |
555 STOCKTON ST |
| City | JACKSONVILLE |
| State | FL |
| Zip Code | 32204-2534 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1073132577 | Lakeisha Greene | Counselor | 555 Stockton St, Jacksonville, FL 32204-2534 | 2020-04-14 |
| 1700405214 | Sarah Shine | Social Worker | 555 Stockton St, Jacksonville, FL 32204-2534 | 2020-04-14 |
| 1477103281 | Christina Cates | Physician Assistant | 555 Stockton St, Jacksonville, FL 32204-2534 | 2019-09-13 |
| 1891349320 | Roseline Oghomwen Shofolu | Counselor | 555 Stockton St, Jacksonville, FL 32204-2534 | 2019-08-01 |
| 1184278749 | Stacey M Grant | Counselor | 555 Stockton St, Jacksonville, FL 32204-2534 | 2019-07-31 |
| 1306490974 | Karla Tandy | Counselor | 555 Stockton St, Jacksonville, FL 32204-2534 | 2019-07-31 |
| 1588218150 | Elizabeth Anne Greenhalgh | Counselor | 555 Stockton St, Jacksonville, FL 32204-2534 | 2019-07-31 |
| 1902450562 | James Price-chandler | Counselor | 555 Stockton St, Jacksonville, FL 32204-2534 | 2019-07-31 |
| 1962056531 | Kimbri Najua Johnson | Counselor | 555 Stockton St, Jacksonville, FL 32204-2534 | 2019-07-31 |
| 1386203818 | Brittany Wilson | Registered Nurse | 555 Stockton St, Jacksonville, FL 32204-2534 | 2019-06-09 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1437719853 | North Florida Surgeons, Pa | Orthopaedic Surgery | 2 Shirlciff Ways, Suite 300, Jacksonville, FL 32204 | 2019-06-18 |
| 1770043531 | Manuel Viado Rosas | Physical Therapist | Bold City Therapy and Wellness LLC, 2054 Park Street, Jacksonville, FL 32204 | 2019-03-20 |
| 1255805172 | Tracie Nickole Singh | Marriage & Family Therapist | 1125 W Beaver Street, Suite 205, Jacksonville, FL 32204 | 2019-01-14 |
| 1427548544 | Bold City Therapy and Wellness LLC | Clinic/Center | 2054 Park Street, Jacksonville, FL 32204 | 2018-05-14 |
| 1356883078 | Lcn Enterprise, LLC | Case Manager/Care Coordinator | 1225 W Beaver St Ste 106, Jacksonville, FL 32204 | 2016-11-11 |
| 1073065082 | Prosser and Prosser LLC | Non-emergency Medical Transport (VAN) | 2120 Ernest St, Jacksonville, FL 32204 | 2016-10-26 |
| 1336529817 | Nader Daoud | Internal Medicine | 1 Shircliffway, Jacksonville, FL 32204 | 2015-06-01 |
| 1194119214 | Benjamin James Dionne | Internal Medicine | 2 Shircliff Way Ste 400, Jacksonville, FL 32204 | 2015-03-26 |
| 1598187932 | Jamara Stephens | Counselor | 1225 W Beaver St Ste 205, Jacksonville, FL 32204 | 2014-01-18 |
| 1154743961 | Kathleen Jasper | Nurse Anesthetist, Certified Registered | 2165 Herschel Street, Jacksonville, FL 32204 | 2014-01-14 |
| Find all providers in zip 32204 | ||||
| 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 |
|---|---|---|---|---|
| 1710504642 | The Awakening Wellness Clinic, Inc | Substance Abuse Rehabilitation Facility | 8 Carver Rd, Jacksonville, NC 28540-7010 | 2020-06-26 |
| 1518505411 | Dialogical Interaction Recovery, Corp. | Substance Abuse Rehabilitation Facility | 515 N. Washington Street, Jacksonville, FL 32202 | 2019-12-11 |
| 1982081352 | Wells Center, Inc | Substance Abuse Rehabilitation Facility | 1300 Lincoln Ave, Jacksonville, IL 62650-3112 | 2015-05-05 |
| 1760548184 | Lakeview Health Systems, LLC | Substance Abuse Rehabilitation Facility | 1900 Corporate Square Ct., Jacksonville, FL 32216 | 2006-12-29 |
| 1508922931 | Stepping Stone Center for Recovery, LLC | Substance Abuse Rehabilitation Facility | 1815 Corporate Square Blvd, Jacksonville, FL 32216-0325 | 2006-12-29 |
| 1205933561 | Wells Center Inc | Substance Abuse Rehabilitation Facility | 1300 Lincoln Avenue, Jacksonville, IL 62650 | 2006-09-20 |
| 1235629379 | Human Services Council | Substance Abuse Rehabilitation Facility | 233 E Bay St Ste 916, Jacksonville, FL 32202-3456 | 2018-05-15 |
| 1811499114 | Gateway Foundation, Inc. | Substance Abuse Rehabilitation Facility | 1300 Lincoln Ave, Jacksonville, IL 62650-3112 | 2018-03-02 |
| 1780134874 | Recovery Coast | Substance Abuse Rehabilitation Facility | 340 16th Ave N, Jacksonville, FL 32250-4819 | 2016-10-12 |
| 1316325962 | Wells Center, Inc | Substance Abuse Rehabilitation Facility | 1300 Lincoln Ave, Jacksonville, IL 62650-3112 | 2015-05-15 |
| Find all providers in JACKSONVILLE | ||||
| City | JACKSONVILLE |
| Zip Code | 32204 |
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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.