Gate-Way Corporation

Primary specialty

Intellectual and/or Developmental Disabilities Community Based Residential Treatment FacilityTaxonomy code 320900000X

License

MHL-032-296 Issued in NC

Legal business name

GATE-WAY CORPORATION

Doing business as

Galaxy Court

Practice address

4 Galaxy CT
Durham, NC 27705-2768

Phone

(919) 479-6917

Fax

(919) 479-6917

NPI assigned

Dec 26, 2006

Last updated

Aug 22, 2020By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Mr. Freddie L. WilliamsNPI 1285874909

Title

Director

Phone

(919) 479-6917

Specialties & licenses 1

Addresses

Other identifiers 2

Other names 1

• Galaxy Court Doing business as

Tax ID family

Galaxy Court2 organizations share this tax ID, including this one

Other organizations with this tax ID 1

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

• Vision

  • Emotionally Disturbed Childrens' Residential Treatment Facility
  • Durham, NC
  • NPI 1467692988
  NPD tax ID

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

• Freddie Lee Williams

  • Emotionally Disturbed Childrens' Residential Treatment Facility
  • Durham, NC
  • NPI 1285874909
  NPD (past) Authorized official

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

{
    "created_epoch": "1167091200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1235294737",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 14281",
            "city": "RESEARCH TRIANGLE PARK",
            "state": "NC",
            "postal_code": "277094281",
            "telephone_number": "919-479-6917",
            "fax_number": "919-479-6917"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4 GALAXY CT",
            "city": "DURHAM",
            "state": "NC",
            "postal_code": "277052768",
            "telephone_number": "919-479-6917",
            "fax_number": "919-479-6917"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "GATE-WAY CORPORATION",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-12-26",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "WILLIAMS",
        "authorized_official_first_name": "FREDDIE",
        "authorized_official_middle_name": "L.",
        "authorized_official_title_or_position": "DIRECTOR",
        "authorized_official_telephone_number": "919-479-6917",
        "authorized_official_name_prefix": "Mr."
    },
    "taxonomies": [
        {
            "code": "320900000X",
            "taxonomy_group": "",
            "desc": "Community Based Residential Treatment Facility, Intellectual and/or Developmental Disabilities",
            "state": "NC",
            "license": "MHL-032-296",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "6603530",
            "state": "NC"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "DSS NUMBER",
            "identifier": "H2219",
            "state": "NC"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Galaxy Court",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Matthew Christian Gash, MD
• Abby Alysse Gaskell, PA-C
• Perry Gaskell
• Cristina Gasparetto, M.D.
• Yana M Gassel, M.S., CCC-SLP
• Gates & Duffy, D.D.S., P.L.L.C.
• Alec Gates, PHARMD
• Ashlyn Nicole Gates, PA-C
• Sharyn Leigh Gates, PA-C
• Tamara Lashawn Gathers

• Intellectual and/or Developmental Disabilities Community Based Residential Treatment Facility in Durham, NC
• Providers in Durham, NC by specialty
• Intellectual and/or Developmental Disabilities Community Based Residential Treatment Facility in North Carolina

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 22, 2020; 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.