NPIMap

Organization Active NPI

Gateway Services, Inc

  • Developmentally Disabled Services Day Training Agency
  • Princeton, IL
National Provider Identifier
1003287210
Registry record updated Oct 14, 2015
On this page

Key facts

NPPES NPI Registry
Primary specialty
Developmentally Disabled Services Day Training AgencyTaxonomy code 251C00000X
License
199100050C Issued in IL
Legal business name
GATEWAY SERVICES, INC
Practice address
406 S Gosse Blvd
Princeton, IL 61356-1916
Phone
(815) 875-4548
Fax
(815) 875-8602
NPI assigned
Oct 14, 2015
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Oct 14, 2015

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name
Amanda J Johnson
Title
Cfo
Phone
(815) 875-4548

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Developmentally Disabled Services Day Training Agency 251C00000X 199100050C IL Primary

Addresses

Primary practice location

406 S Gosse Blvd
Princeton, IL 61356-1916

Mailing address

PO Box 535
Princeton, IL 61356-0535
Phone (815) 875-4548

National Provider Directory

National Provider Directory
Tax ID family
Gateway Services Inc3 organizations share this tax ID, including this one

Other organizations with this tax ID 2

Organizations that report the same tax identification number in the National Provider Directory.

Locations

406 S Gosse Blvd
Princeton, IL 61356
Phone (815) 875-4548

Practitioners & affiliated clinicians

Practitioners 4

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1444780800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1444780800000",
    "number": "1003287210",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 535",
            "city": "PRINCETON",
            "state": "IL",
            "postal_code": "613560535",
            "telephone_number": "815-875-4548",
            "fax_number": "815-875-8602"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "406 S GOSSE BLVD",
            "city": "PRINCETON",
            "state": "IL",
            "postal_code": "613561916",
            "telephone_number": "815-875-4548",
            "fax_number": "815-875-8602"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "GATEWAY SERVICES, INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2015-10-14",
        "last_updated": "2015-10-14",
        "status": "A",
        "authorized_official_last_name": "JOHNSON",
        "authorized_official_first_name": "AMANDA",
        "authorized_official_middle_name": "J",
        "authorized_official_title_or_position": "CFO",
        "authorized_official_telephone_number": "815-875-4548"
    },
    "taxonomies": [
        {
            "code": "251C00000X",
            "taxonomy_group": "",
            "desc": "Day Training, Developmentally Disabled Services",
            "state": "IL",
            "license": "199100050C",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Princeton, IL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 14, 2015; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.