GATEWAY BEHAHVIORAL HEALTH SERVICES (NPI# 1912271461) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
Nation Provider ID (NPI) | 1912271461 |
Entity Type | Organization |
Organization Name | GATEWAY BEHAHVIORAL HEALTH SERVICES |
Other Organization Name | GLYNN PINEHAVEN GROUP HOME |
Practice Address |
700 Coastal Village Dr Brunswick GA 31520-1974 |
Mailing Address |
727 Pine Haven Cir Brunswick GA 31525-9567 |
Practice Telephone | 9125548510 |
Enumeration Date | 2012-03-01 |
Last Update Date | 2012-03-01 |
Authorized Official Name | MRS. RACHEL SKINNER (DIRECTOR OF REIMBURSEMENT) |
Authorized Official Telephone | 9125548498 |
Is Organization Subpart | N |
Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
---|---|---|---|---|---|
Y | 320900000X | Community Based Residential Treatment, Mental Retardation and/or Developmental Disabilities | 063-01-035-2 | GA | Residential Treatment Facilities |
State | Issuer | Identifier | Type Code |
---|---|---|---|
GA | 000622553BI | 05 |
Other Name | Type Code |
---|---|
Glynn Pinehaven Group Home | Other Name - Individual/Organization |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1730743626 | Gateway Behahvioral Health Services | Community/Behavioral Health | 601 E 66th St, Savannah, GA 31405-4519 | 2019-04-25 |
Street Address |
700 COASTAL VILLAGE DR |
City | BRUNSWICK |
State | GA |
Zip Code | 31520-1974 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1427237015 | David Scott Deuser | Psychiatry & Neurology | 700 Coastal Village Dr, Brunswick, GA 31520-1974 | 2007-10-31 |
1962009720 | Kimberly Claire Bell | Nurse Practitioner | 700 Coastal Village Dr, Brunswick, GA 31520-1974 | 2020-10-05 |
1225481666 | Emily Reed | Social Worker | 700 Coastal Village Dr, Brunswick, GA 31520-1974 | 2016-07-21 |
1669825014 | Eboni Robinson | Counselor | 700 Coastal Village Dr, Brunswick, GA 31520-1974 | 2016-07-21 |
1336591031 | Diane Hall | Counselor | 700 Coastal Village Dr, Brunswick, GA 31520-1974 | 2016-07-06 |
1316398779 | Sandra Jacobs | Counselor | 700 Coastal Village Dr, Brunswick, GA 31520-1974 | 2016-06-28 |
1851742647 | Chad Carpenter | Registered Nurse | 700 Coastal Village Dr, Brunswick, GA 31520-1974 | 2016-06-23 |
1477901890 | Jennifer Jackson | Registered Nurse | 700 Coastal Village Dr, Brunswick, GA 31520-1974 | 2016-05-26 |
1700233129 | Cristi Anderson | Registered Nurse | 700 Coastal Village Dr, Brunswick, GA 31520-1974 | 2016-05-16 |
1215383179 | Daniel Goss | Registered Nurse | 700 Coastal Village Dr, Brunswick, GA 31520-1974 | 2016-05-10 |
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NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1760953434 | David S Deuser Md & Associates PC | Psychiatry & Neurology | 7 Saint Andrews Court, Brunswick, GA 31520 | 2018-12-06 |
1063961845 | Irene Limon | Licensed Practical Nurse | 2009 Ellis Street, Brunswick, GA 31520 | 2016-09-22 |
1770936551 | Elaine Latimer-tandy | Counselor | 1801 Gloucester St Ste E, Brunswick, GA 31520 | 2016-07-18 |
1710336326 | Giva, Inc. | Home Health | 8 St Andrews Court, Brunswick, GA 31520 | 2016-06-06 |
1447618525 | Parmelee Eye Care LLC | Point of Service | 1909 Gloucester St, Brunswick, GA 31520 | 2016-02-04 |
1578947800 | Holly Diskin Kinsey | Nurse Practitioner | 3400 Parkwood Drive, Brunswick, GA 31520 | 2015-07-16 |
1679976419 | Miriam Hosey | Registered Nurse | 2747 Fourth Street, Glynn County Health Dept., Brunswick, GA 31520 | 2014-10-08 |
1558779348 | Tracey Renee Price | Internal Medicine | 3025 Shrine Rd Ste 290, Brunswick, GA 31520 | 2014-07-24 |
1770901951 | Candace Shepherd | Social Worker | 707 F Street, Brunswick, GA 31520 | 2014-04-03 |
1699193599 | Enrique Martinez, M.d., P.C. | Internal Medicine | 3114 A Shrine Road, Brunswick, GA 31520 | 2014-03-29 |
Find all providers in zip 31520 |
Taxonomy Code | 320900000X |
Grouping | Residential Treatment Facilities |
Classification | Community Based Residential Treatment, Mental Retardation and/or Developmental Disabilities |
A home-like residential facility providing habilitation, support and monitoring services to individuals diagnosed with mental retardation and/or developmental disabilities. |
Notes: [7/1/2003: new] |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1629617477 | Compass Bridges LLC | Community Based Residential Treatment, Mental Retardation and/or Developmental Disabilities | 14 Arrowhead Dr, Brunswick, ME 04011-7420 | 2019-12-26 |
1619519709 | Gateway Behavioral Health Services | Community Based Residential Treatment, Mental Retardation and/or Developmental Disabilities | 516 Freedom Trl, Brunswick, GA 31525-4712 | 2019-10-10 |
1750672242 | Gateway Behavioral Health Services | Community Based Residential Treatment, Mental Retardation and/or Developmental Disabilities | 6055 New Jesup Hwy, Brunswick, GA 31523-1629 | 2011-05-02 |
1306970207 | Gateway Behavioral Health Services | Community Based Residential Treatment, Mental Retardation and/or Developmental Disabilities | 727 Pine Haven Circle, Brunswick, GA 31520 | 2007-03-15 |
1902939325 | Gateway Behavioral Health Services | Community Based Residential Treatment, Mental Retardation and/or Developmental Disabilities | 111 Frazier Street, Brunswick, GA 31525 | 2007-03-14 |
1124151980 | Gateway Behavioral Health Services | Community Based Residential Treatment, Mental Retardation and/or Developmental Disabilities | 107 Baybridge Dr, Brunswick, GA 31525-1818 | 2007-03-13 |
1609909498 | Gateway Behavioral Health Services | Community Based Residential Treatment, Mental Retardation and/or Developmental Disabilities | 115 Frazier Road, Brunswick, GA 31525 | 2007-03-13 |
1306979000 | Gateway Behavioral Health Services | Community Based Residential Treatment, Mental Retardation and/or Developmental Disabilities | 119 Hidden Lakes Drive, Brunswick, GA 31525 | 2007-03-13 |
1568500585 | Pathways of Maine, Inc. | Community Based Residential Treatment, Mental Retardation and/or Developmental Disabilities | 16 Burbank Ave, Brunswick, ME 04011-2878 | 2007-02-02 |
1255606810 | Gateway Behavioral Health Services | Community Based Residential Treatment, Mental Retardation and/or Developmental Disabilities | 700 Coastal Village Dr, Brunswick, GA 31520-1974 | 2012-03-15 |
Find all providers in BRUNSWICK |
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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.