Gateway Foundation, Inc

LBN: Gateway Foundation, Inc
Gateway Foundation, Inc is an health care organization with primary practice located at 404 N Hershey Rd Ste C , Bloomington IL 61704-3560. The organization recently has 4 registered licenses in different health care specialties including Behavioral Health & Social Service Providers / Mental Health, Ambulatory Health Care Facilities / Mental Health (Including Community Mental Health Center), Ambulatory Health Care Facilities / Rehabilitation, Substance Use Disorder, Residential Treatment Facilities / Substance Abuse Rehabilitation Facility. Ambulatory Health Care Facilities / Rehabilitation, Substance Use Disorder is the primary health care specialty. Gateway Foundation, Inc can be contacted via phone (877) 381-6538, or through Klemanski, Jeremy via phone (312) 663-1130.

Contact Information

Primary practice address
404 N Hershey Rd Ste C Bloomington IL 61704-3560
Phone: (877) 381-6538
Fax:
Website:
Map and Directions
Authorized official contact:
Name: Klemanski, Jeremy
Phone: (312) 663-1130

Health care specialties

SpecialtyCodeLicense #State
Behavioral Health & Social Service Providers / Mental Health 101YM0800X
Ambulatory Health Care Facilities / Mental Health (Including Community Mental Health Center) 261QM0801X
Ambulatory Health Care Facilities / Rehabilitation, Substance Use Disorder 261QR0405X
Residential Treatment Facilities / Substance Abuse Rehabilitation Facility 324500000X

Profile Details

NPI number 1750082194
LBN Legal business name Gateway Foundation, Inc
DBA Doing business as Gateway Foundation, Inc
Authorized official Klemanski, Jeremy
Entity Organization
Organization subpart 1 Yes
Enumeration date Mar 13th, 2023
Last updated Jun 4th, 2024 - about 5 months 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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