NPIMap

Organization Active NPI

Gateway Homes, Inc.

  • Psychiatric Residential Treatment Facility
  • Chesterfield, VA
National Provider Identifier
1154428290
Registry record updated Dec 23, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Psychiatric Residential Treatment FacilityTaxonomy code 323P00000X
License
673-03-001 Issued in VA
Legal business name
GATEWAY HOMES, INC.
Practice address
11901 Reedy Branch Rd
Chesterfield, VA 23838-4235
Phone
(804) 590-0828
NPI assigned
Sep 20, 2006
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Dec 23, 2021

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

Authorized official

Name
Lynda J Hyatt, PH.D.NPI 1114648482
Title
Chief Executive Officer
Phone
(804) 767-0292

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Psychiatric Residential Treatment Facility 323P00000X 673-03-001 VA Primary

Addresses

Primary practice location

11901 Reedy Branch Rd
Chesterfield, VA 23838-4235

Mailing address

4905 Dickens Rd Ste 106
Richmond, VA 23230-1953
Phone (571) 550-0767

Other identifiers 1

IdentifierTypeStateIssuer
010075521MedicaidVA

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in VA

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20150402002262 VA Part B Supplier - Clinic/Group Practice 0446577316 Receives reassigned benefits from 8 practitioners
Practice locations: Chesterfield, VA

National Provider Directory

National Provider Directory

Locations

11901 Reedy Branch Rd
Chesterfield, VA 23838
Phone (804) 571-0767

4905 Dickens Rd
Ste 106
Richmond, VA 23230
Phone (540) 476-3334

Practitioners & affiliated clinicians

Practitioners 13

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

View all 13

NPI Registry JSON

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

{
    "created_epoch": "1158710400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1640217600000",
    "number": "1154428290",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4905 DICKENS RD STE 106",
            "city": "RICHMOND",
            "state": "VA",
            "postal_code": "232301953",
            "telephone_number": "571-550-0767",
            "fax_number": "804-269-5003"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "11901 REEDY BRANCH RD",
            "city": "CHESTERFIELD",
            "state": "VA",
            "postal_code": "238384235",
            "telephone_number": "804-590-0828"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "GATEWAY HOMES, INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-09-20",
        "last_updated": "2021-12-23",
        "certification_date": "2021-12-23",
        "status": "A",
        "authorized_official_last_name": "HYATT",
        "authorized_official_first_name": "LYNDA",
        "authorized_official_middle_name": "J",
        "authorized_official_title_or_position": "CHIEF EXECUTIVE OFFICER",
        "authorized_official_telephone_number": "804-767-0292",
        "authorized_official_credential": "PH.D."
    },
    "taxonomies": [
        {
            "code": "323P00000X",
            "taxonomy_group": "",
            "desc": "Psychiatric Residential Treatment Facility",
            "state": "VA",
            "license": "673-03-001",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "010075521",
            "state": "VA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Chesterfield, VA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 23, 2021; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.