GATEWAY BEHAVIORAL HEALTH SERVICES NPI 1720111040

NPI Information

  • NPI: 1720111040
  • Provider Name: GATEWAY BEHAVIORAL HEALTH SERVICES
  • Classification: Community Based Residential Treatment Facility, Intellectual and/or Developmental Disabilities - 320900000X
  • Entity Type: Organization
  • Other Name: GATEWAY BHS - CHATHAM SEA PALMS GH
  • Address: 148 SEA PALMS ROAD
    SAVANNAH, GA
    ZIP 31410
  • Phone: (912) 898-3340

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NPI Details

GATEWAY BEHAVIORAL HEALTH SERVICES is a community based residential treatment facility, intellectual and/or developmental disabilities in Savannah, GA. The provider is a home-like residential facility providing habilitation, support and monitoring services to individuals diagnosed with mental retardation and/or developmental disabilities. GATEWAY BEHAVIORAL HEALTH SERVICES NPI is 1720111040. The provider is registered as an organization entity type.
The provider Other Name Is Gateway Bhs - Chatham Sea Palms Gh.

The provider's business location address is:

148 SEA PALMS ROAD
SAVANNAH, GA
ZIP 31410
Phone: (912) 898-3340
Fax: (912) 897-6693

The provider's authorized official is William Parks .
The authorized official title is Chief Financial Officer and has the following contact phone number (912) 554-8464.

The enumeration date for this NPI number is 3/14/2007 and was last updated on 10/20/2011.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No. Taxonomy Code Taxonomy Clasification Taxonomy Specialization License Number License State Primary
1320900000XCommunity Based Residential Treatment Facility, Intellectual and/or Developmental Disabilities025011958GEORGIAYes

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No. Other Provider Identifier Other Provider Identifier Type Other Provider Identifier State Other Provider Identifier Issuer
1000622553BBMEDICAIDGEORGIA

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 3/30/2025

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