GATEWAY FOUNDATION, INC. – NPI #1477849909
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.

GATEWAY FOUNDATION, INC. is a substance abuse rehabilitation facility located in CASEYVILLE, IL. NPPES has assigned the NPI number 1477849909 to GATEWAY FOUNDATION, INC. on June 23, 2011. It is a Type-2 NPI, indicating this NPI number is associated with an organization. The primary taxonomy selected by this provider is 324500000X from the Health Care Provider Taxonomy code set, which is classified as Substance Abuse Rehabilitation Facility.

The NPI profile was previously updated about 4 years ago on Dec 22, 2021. 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 FOUNDATION, INC. below.

NPI Profile for
GATEWAY FOUNDATION, INC.

NPI Number
1477849909
Enumeration Date

(about 15 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 FOUNDATION, INC.
Primary location
600 W. LINCOLN STREET
EAST
CASEYVILLE, IL 62232
Phone: (618) 345-3970 Fax: (618) 345-3970
Mailing address
55 E. JACKSON BLVD.
SUITE 1500
CHICAGO, IL 60604
Phone: (312) 663-1130 Fax: (312) 663-0504
Organization Subpart
Yes - GATEWAY FOUNDATION, INC. is subpart of another organization.
Authorized Official
LATINA RUSSELL
CONTRACT AND CRED SPECIALIST
Phone: (312) 663-1130
Updated
Certification Date
Dec 22, 2021

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.

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.

Taxonomy Classification / Specialization State License
324500000X
- Substance Abuse Rehabilitation Facility (Primary)
IL A-0538-0044-A

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.