GATEWAY FOUNDATION INC.


Address: 100 Sunnyside Rd, Pickett Building, 1st Floor, Smyrna, DE 19977-1752
Phone: 3026533923

GATEWAY FOUNDATION INC. (NPI# 1922473354) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).

Provider Overview

Nation Provider ID (NPI) 1922473354
Entity Type Organization
Organization Name GATEWAY FOUNDATION INC.
Practice Address 100 Sunnyside Rd
Pickett Building, 1st Floor
Smyrna
DE 19977-1752
Mailing Address 55 E Jackson Blvd
Suite 1500
Chicago
IL 60604-4466
Practice Telephone 3026533923
Practice Fax Number 3026536044
Mailing Telephone 3126631130
Mailing Fax Number 3126630504
Enumeration Date 2015-12-10
Last Update Date 2020-05-29
Authorized Official Name MR. THOMAS P BRITTON (PRESIDENT/CEO)
Authorized Official Telephone 3126631130
Authorized Official Credential DRPH,LPC,LCAS,CC
Is Organization Subpart Y
Parent Organization Name GATEWAY FOUNDATION, INC.

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
N 324500000X Substance Abuse Rehabilitation Facility DE Residential Treatment Facilities
Y 261QR0405X Clinic/Center
Specialization: Rehabilitation, Substance Use Disorder
DE Ambulatory Health Care Facilities

Other Provider IDs and Locations

NPI Name Taxonomy Address Enumeration
1740725704 Gateway Foundation Inc. Clinic/Center 222 S Greenleaf St, Gurnee, IL 60031-5705 2016-12-30
1689125924 Gateway Foundation Inc. Clinic/Center 1419 Essington Rd, Joliet, IL 60435-2873 2016-10-21
1972968121 Gateway Foundation Inc. Clinic/Center 3828 W Taylor St, Chicago, IL 60624-4027 2015-12-15
1699130849 Gateway Foundation Inc. Substance Abuse Rehabilitation Facility 25480 W Cedar Crest Ln, Lake Villa, IL 60046-9744 2015-12-15
1417312661 Gateway Foundation Inc. Substance Abuse Rehabilitation Facility 25480 W Cedar Crest Ln, Lake Villa, IL 60046-9744 2015-12-15
1508221755 Gateway Foundation Inc. Substance Abuse Rehabilitation Facility 25480 W Cedar Crest Ln, Lake Villa, IL 60046-9744 2015-12-15
1144685397 Gateway Foundation Inc. Substance Abuse Rehabilitation Facility 400 Mercy Ln, Aurora, IL 60506-2447 2015-12-15
1053776203 Gateway Foundation Inc. Substance Abuse Rehabilitation Facility 600 W Lincoln Ave, Caseyville, IL 62232-1329 2015-12-15
1699130856 Gateway Foundation Inc. Substance Abuse Rehabilitation Facility 2200 Lake Victoria Dr, Springfield, IL 62703-5596 2015-12-15
1477963247 Gateway Foundation Inc. Substance Abuse Rehabilitation Facility 4049 Miller Way, Sacramento, CA 95817-1332 2014-05-02

Other Data Sources

Entity Type Entity Name Entity Address
Virginia Business Entities Gateway Foundation Inc. 55 E Jackson Blvd Ste 1500, Chicago, Illinois 60604-4184

Office Location

Street Address 100 SUNNYSIDE RD
PICKETT BUILDING, 1ST FLOOR
City SMYRNA
State DE
Zip Code 19977-1752

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NPI Name Taxonomy Address Enumeration
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1003297722 Kim Schulenburg Speech-Language Pathologist 100 Sunnyside Rd, Smyrna, DE 19977-1752 2015-06-18
1770714032 Sharon Grace Burns Occupational Therapist 100 Sunnyside Rd, Smyrna, DE 19977-1752 2009-08-05
1417107921 Anthony R Cannuli Psychiatry & Neurology 100 Sunnyside Rd, Smyrna, DE 19977-1752 2008-09-22
1275664856 Barry W.c. Pierce Pharmacist 100 Sunnyside Rd, Smyrna, DE 19977-1752 2007-03-08
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1003943507 Ami Parikh Pharmacist 100 Sunnyside Rd, Smyrna, DE 19977-1752 2007-02-28
1205963725 Hooshang Shanehsaz Pharmacist 100 Sunnyside Rd, Smyrna, DE 19977-1752 2007-02-28
1700971827 Marci Lynn Drees Internal Medicine 100 Sunnyside Rd, Smyrna, DE 19977-1752 2006-10-04
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1164826707 Naomi Ruth Thomas Registered Nurse 654 Brenford Station Road, Smyrna, DE 19977 2014-10-10
1104164524 Christianacare Health Systems Clinic/Center 100 Sunnyside Rd 3rd Floor Prickett South, Smyrna, DE 19977 2013-01-18
1891056529 Alex Bongon Siapno Physical Therapist 3034 S Dupont Blvd., Smyrna, DE 19977 2012-05-29
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Taxonomy Information

Taxonomy Code 261QR0405X
Grouping Ambulatory Health Care Facilities
Classification Clinic/Center
Specialization Rehabilitation, Substance Use Disorder

Taxonomy Definition

Definition to come...

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Competitor

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City SMYRNA
Zip Code 19977

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Dataset Information

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.

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