GATEWAY COMMUNITY SERVICE BOARD – NPI #1558491050
Community Based Residential Treatment Facility, Intellectual and/or Developmental Disabilities

A home-like residential facility providing habilitation, support and monitoring services to individuals diagnosed with intellectual and/or developmental disabilities.

GATEWAY COMMUNITY SERVICE BOARD is a community based residential treatment facility located in BRUNSWICK, GA. NPPES has assigned the NPI number 1558491050 to GATEWAY COMMUNITY SERVICE BOARD on March 06, 2007. It is a Type-2 NPI, indicating this NPI number is associated with an organization. This provider is also associated with 2 additional names listed below. With multiple taxonomy codes selected, the primary taxonomy selected by this provider is 320900000X from the Health Care Provider Taxonomy code set, which is classified as Community Based Residential Treatment Facility, Intellectual and/or Developmental Disabilities.

The NPI profile was last updated on Mar 31, 2026. Use the NPI data found here to bill health insurance companies, identify providers enrolled in Medicare and Medicaid services or other HIPAA compliant transactions. See the complete NPI profile for GATEWAY COMMUNITY SERVICE BOARD below.

NPI Profile for
GATEWAY COMMUNITY SERVICE BOARD

NPI Number
1558491050
Enumeration Date

(more than 19 years ago)
Entity Type
Type-2  Organization
Organization health care providers may have a single employee or thousands of employees. An example is an incorporated individual who is an organization's only employee.
Legal Name
GATEWAY COMMUNITY SERVICE BOARD
Other name(s)
All associated names:
Other Name
Gateway BHS - Harpers PS
Other Name
GATEWAY COMMUNITY SERVICE BOARD
Primary location
519 NORWICH STREET
BRUNSWICK, GA 31520
Phone: (912) 280-1575 Fax: (912) 282-1583
Mailing address
121 BURGESS RD
BRUNSWICK, GA 31523-9311
Phone: (912) 280-7023 Fax: (912) 289-0909
Organization Subpart
No
Authorized Official
MIRANDA HORNE
REVENUE CYCLE MANAGER
Phone: (912) 280-7023
Updated
Certification Date
Mar 31, 2026

Note: NPPES allows providers to attest to the accuracy of their NPI data. When a provider request any change to the NPI record, they will be able to attest to their changed NPI data, resulting in an updated certification date.

Identifiers

Identifiers for GATEWAY COMMUNITY SERVICE BOARD

Identifiers are used to associate other provider identifiers such as Medicaid or other insurers (ie:, Blue Cross, Blue Shield, Aetna, Kaiser-Permanente, etc.), with their NPI number. These identifiers can be used in matching an NPI number to an insurer's records. However, not all providers have such numbers and not all providers choose to include them in their NPI information.

DescriptionIssuerStateIdentifier
medicaidGA000625303B
Taxonomy Code(s)

A taxonomy code is a code that describes the health care service provider's type, classification, and the area of specialization. The primary specialty for this provider is indicated as (Primary) below.

The taxonomy codes are selected by the provider at the time of NPI registration. Selection of a taxonomy code does not replace any credentialing or validation process that the provider requesting the code should complete.