Gateway Community Services, Inc.

LBN: Gateway Community Services, Inc.
Gateway Community Services, Inc. is an health care organization with primary practice located at 920 Bridier St , Jacksonville FL 32206-5904. The organization recently has 2 registered licenses in different health care specialties including Ambulatory Health Care Facilities / Mental Health (Including Community Mental Health Center), Ambulatory Health Care Facilities / Rehabilitation, Substance Use Disorder. Ambulatory Health Care Facilities / Mental Health (Including Community Mental Health Center) is the primary health care specialty. Gateway Community Services, Inc. can be contacted via phone (904) 387-4661, or through Motherway, Nancy via phone (904) 387-4661.

Contact Information

Primary practice address
920 Bridier St Jacksonville FL 32206-5904
Phone: (904) 387-4661
Fax:
Website:
Map and Directions
Authorized official contact:
Name: Motherway, Nancy LCSW, CAP
Phone: (904) 387-4661

Health care specialties

SpecialtyCodeLicense #State
Ambulatory Health Care Facilities / Mental Health (Including Community Mental Health Center) 261QM0801X
Ambulatory Health Care Facilities / Rehabilitation, Substance Use Disorder 261QR0405X

Profile Details

NPI number 1538820444
LBN Legal business name Gateway Community Services, Inc.
DBA Doing business as
Authorized official Motherway, Nancy LCSW, CAP
Entity Organization
Organization subpart 1 No
Enumeration date Jan 3rd, 2022
Last updated May 13th, 2022 - about 2 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.

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Identifiers

StateTypeNumberIssuer
All States NPI 1538820444 NPPES
Florida MEDICAID 060594800

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