NPIMap

Organization Active NPI

Gateways to Better Living, Inc.

  • Intellectual Disabilities Intermediate Care Facility
  • Youngstown, OH
National Provider Identifier
1073738605
Registry record updated Aug 22, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Intellectual Disabilities Intermediate Care FacilityTaxonomy code 315P00000X
License
5010446 Issued in OH
Legal business name
GATEWAYS TO BETTER LIVING, INC.
Practice address
2601 Donald Ave
Youngstown, OH 44509-1201
Phone
(330) 799-8710
Fax
(330) 799-8710
NPI assigned
Apr 17, 2007
Last updated
Aug 22, 2020By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 22, 2020

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

Authorized official

Name
Sylvia Kuppler
Title
Coo
Phone
(330) 792-2854

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Intellectual Disabilities Intermediate Care Facility 315P00000X 5010446 OH Primary

Addresses

Primary practice location

2601 Donald Ave
Youngstown, OH 44509-1201

Mailing address

6000 Mahoning Ave
Suite 234
Youngstown, OH 44515-2225
Phone (330) 792-2854

Other identifiers 2

IdentifierTypeStateIssuer
1376OtherOHOH DEPT HEALTH ID NUMBER
0655027MedicaidOH

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

NPI to CCN mapping 1

The Medicare certification numbers (CCNs) connected to NPI 1073738605. Details of each certification follow.

  • CCN 36G036 Intermediate care facility for individuals with intellectual disabilities · Active · Name & address match · Details

Intermediate care facility for individuals with intellectual disabilities certification: CCN 36G036

Name & address match This certification has no NPI in the Medicare enrollment files. CMS publishes enrollment files for six facility types only, so it was connected to this NPI by matching the name and address CMS publishes for it.

Legal name
GATEWAYS TO BETTER LIVING #3
Certification status
Active
Provider type (POS)
Intermediate care facility for individuals with intellectual disabilities
Participating since
Mar 3, 1977
Last certification
Aug 14, 2024
Beds
9
Ownership / control type
Private (non-profit)
Facility address
2601 Donald Avenue
Youngstown, OH 44509

National Provider Directory

National Provider Directory
Tax ID family
Gateways to Better Living23 organizations share this tax ID, including this one

Other organizations with this tax ID 22

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

View all 22

NPI Registry JSON

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

{
    "created_epoch": "1176768000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1073738605",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6000 MAHONING AVE",
            "address_2": "SUITE 234",
            "city": "YOUNGSTOWN",
            "state": "OH",
            "postal_code": "445152225",
            "telephone_number": "330-792-2854",
            "fax_number": "330-792-3386"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2601 DONALD AVE",
            "city": "YOUNGSTOWN",
            "state": "OH",
            "postal_code": "445091201",
            "telephone_number": "330-799-8710",
            "fax_number": "330-799-8710"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "GATEWAYS TO BETTER LIVING, INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-04-17",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "KUPPLER",
        "authorized_official_first_name": "SYLVIA",
        "authorized_official_title_or_position": "COO",
        "authorized_official_telephone_number": "330-792-2854"
    },
    "taxonomies": [
        {
            "code": "315P00000X",
            "taxonomy_group": "",
            "desc": "Intermediate Care Facility, Intellectual Disabilities",
            "state": "OH",
            "license": "5010446",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "OH DEPT HEALTH ID NUMBER",
            "identifier": "1376",
            "state": "OH"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "0655027",
            "state": "OH"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Youngstown, OH

Sources for this page

Verify at the official NPI Registry.