51St Street Group Home
LBN: Gateway Behavioral Health Services
51St Street Group Home is an health care organization with primary practice located at 1915 East 51St Street , Savannah GA 31404. The organization recently has only one registered license in Residential Treatment Facilities / Community Based Residential Treatment Facility, Mental Retardation and/or Developmental Disabilities, which is considered as the primary health care specialty.
Gateway Behavioral Health Services can be contacted via phone (912) 353-3089, or through Parks, William via phone (912) 554-8464.
Contact Information
Primary practice address
1915 East 51St Street
Savannah GA 31404
Phone: (912) 353-3089
Fax: (912) 351-6490
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Residential Treatment Facilities / Community Based Residential Treatment Facility, Mental Retardation and/or Developmental Disabilities | 320900000X | 025011408 | Georgia |
Profile Details
| NPI number | 1740313501 |
|---|---|
| LBN Legal business name | Gateway Behavioral Health Services |
| DBA Doing business as | 51St Street Group Home |
| Authorized official | Parks, William CPA CFO |
| Entity | Organization |
| Organization subpart 1 | No |
| Enumeration date | Mar 13th, 2007 |
| Last updated | Mar 4th, 2009 - about 15 years ago |
1 Some organizations, which are providing health care services, may consist of units or departments that provide different types of health care services or have several separate physical locations, where health care service is provided. These units, departments or physical locations are not themselves legal entities. However, each of them is part of the organization, which is a legal entity. The organization may decide whether its subparts, if it has any, should have their own NPI numbers. In case a subpart conducts any HIPAA standard transactions by itself, without its parent's involvement, it must have its own NPI number.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1740313501 | NPPES |
| Georgia | MEDICAID | 000622553M |
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