GATEWAY BEHAHVIORAL HEALTH SERVICES NPI 1912271461

NPI Information

NPI: 1912271461
Provider Name: GATEWAY BEHAHVIORAL HEALTH SERVICES

Other Name: GLYNN PINEHAVEN GROUP HOME

Classification: Community Based Residential Treatment Facility, Intellectual and/or Developmental Disabilities - 320900000X
Entity Type: Organization
Address:
700 COASTAL VILLAGE DR
BRUNSWICK, GA
ZIP 31520
Phone: (912) 554-8510
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GATEWAY BEHAHVIORAL HEALTH SERVICES is a community based residential treatment facility, intellectual and/or developmental disabilities in Brunswick, 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 BEHAHVIORAL HEALTH SERVICES NPI is 1912271461. The provider is registered as an organization entity type.
The provider Other Name Is Glynn Pinehaven Group Home.

The provider's business location address is:

700 COASTAL VILLAGE DR
BRUNSWICK, GA
ZIP 31520-974
Phone: (912) 554-8510

The provider's authorized official is Rachel Skinner .
The authorized official title is Director Of Reimbursement and has the following contact phone number (912) 554-8498.

The enumeration date for this NPI number is 3/1/2012 and was last updated on 3/1/2012.

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
1	320900000X	Community Based Residential Treatment Facility, Intellectual and/or Developmental Disabilities		063-01-035-2	GEORGIA	Yes

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
1	000622553BI	MEDICAID	GEORGIA

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: 5/5/2024

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