GATEWAY FOUNDATION, INC. – NPI #1699066472
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 CARBONDALE, IL. NPPES has assigned the NPI number 1699066472 to GATEWAY FOUNDATION, INC. on April 27, 2011. It is a Type-2 NPI, indicating this NPI number is associated with an organization. With multiple taxonomy codes selected, 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 7 years ago on May 16, 2019. 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
1699066472
Enumeration Date

(more than 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
1080 E. PARK STREET
1ST FLOOR, SOUTH
CARBONDALE, IL 62901
Phone: (618) 529-1151 Fax: (618) 549-9540
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
THOMAS BRITTON
PRESIDENT & CEO
Phone: (312) 663-1130
Updated
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-0538-0042-A
261QR0405X
- Clinic/Center / Rehabilitation, Substance Use Disorder
A-0538-0042-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.