NPIMap

Organization Active NPI

Gateway Residential Services, Inc

  • Intellectual and/or Developmental Disabilities Residential Treatment Facility
  • Rosedale, MD
National Provider Identifier
1225202252
Registry record updated Jun 18, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
Intellectual and/or Developmental Disabilities Residential Treatment FacilityTaxonomy code 320600000X
License
DDA-19244-07 Issued in MD
Legal business name
GATEWAY RESIDENTIAL SERVICES, INC
Practice address
9334 Beowulf Cir
Rosedale, MD 21237-4516
Phone
(443) 722-1433
Fax
(443) 231-6997
NPI assigned
Apr 22, 2008
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jun 18, 2008

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

Authorized official

Name
Mr. Chukuwudi Onyenweama
Title
Executive Director
Phone
(443) 722-1433

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Intellectual and/or Developmental Disabilities Residential Treatment Facility 320600000X DDA-19244-07 MD Primary

Addresses

Primary practice location

9334 Beowulf Cir
Rosedale, MD 21237-4516

Mailing address

9334 Beowulf Cir
Rosedale, MD 21237-4516
Phone (443) 722-1433

Other names 1

  • Gateway Residential Programs, Inc Other name

National Provider Directory

National Provider Directory

NPI Registry JSON

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

{
    "created_epoch": "1208822400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1213747200000",
    "number": "1225202252",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "9334 BEOWULF CIR",
            "city": "ROSEDALE",
            "state": "MD",
            "postal_code": "212374516",
            "telephone_number": "443-722-1433",
            "fax_number": "443-231-6997"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "9334 BEOWULF CIR",
            "city": "ROSEDALE",
            "state": "MD",
            "postal_code": "212374516",
            "telephone_number": "443-722-1433",
            "fax_number": "443-231-6997"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "GATEWAY RESIDENTIAL SERVICES, INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2008-04-22",
        "last_updated": "2008-06-18",
        "status": "A",
        "authorized_official_last_name": "ONYENWEAMA",
        "authorized_official_first_name": "CHUKUWUDI",
        "authorized_official_title_or_position": "EXECUTIVE DIRECTOR",
        "authorized_official_telephone_number": "443-722-1433",
        "authorized_official_name_prefix": "Mr."
    },
    "taxonomies": [
        {
            "code": "320600000X",
            "taxonomy_group": "",
            "desc": "Residential Treatment Facility, Intellectual and/or Developmental Disabilities",
            "state": "MD",
            "license": "DDA-19244-07",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Gateway Residential Programs, Inc",
            "code": "5",
            "type": "Other Name"
        }
    ]
}

Other providers in Rosedale, MD

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 18, 2008; 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.