NPIMap

Organization Active NPI

Gatesway Foundation Inc

  • Intellectual Disabilities Intermediate Care Facility
  • Broken Arrow, OK
National Provider Identifier
1265669667
Registry record updated Jun 12, 2009
On this page

Key facts

NPPES NPI Registry
Primary specialty
Intellectual Disabilities Intermediate Care FacilityTaxonomy code 315P00000X
License
NH7257-7257 Issued in OK
Legal business name
GATESWAY FOUNDATION INC
Practice address
1305 E College St
Broken Arrow, OK 74012-4204
Phone
(918) 258-3900
NPI assigned
Jun 12, 2009
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jun 12, 2009

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

Authorized official

Name
Judi Myers
Title
Ceo
Phone
(918) 259-3586

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Intellectual Disabilities Intermediate Care Facility 315P00000X NH7257-7257 OK Primary

Addresses

Primary practice location

1305 E College St
Broken Arrow, OK 74012-4204

Mailing address

1217 E College St
Broken Arrow, OK 74012-4204
Phone (918) 258-3900

National Provider Directory

National Provider Directory
Tax ID family
Gatesway Foundation Inc6 organizations share this tax ID, including this one

Other organizations with this tax ID 5

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

Practitioners & affiliated clinicians

Practitioners 1

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": "1244764800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1244764800000",
    "number": "1265669667",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1217 E COLLEGE ST",
            "city": "BROKEN ARROW",
            "state": "OK",
            "postal_code": "740124204",
            "telephone_number": "918-258-3900"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1305 E COLLEGE ST",
            "city": "BROKEN ARROW",
            "state": "OK",
            "postal_code": "740124204",
            "telephone_number": "918-258-3900"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "GATESWAY FOUNDATION INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2009-06-12",
        "last_updated": "2009-06-12",
        "status": "A",
        "authorized_official_last_name": "MYERS",
        "authorized_official_first_name": "JUDI",
        "authorized_official_title_or_position": "CEO",
        "authorized_official_telephone_number": "918-259-3586"
    },
    "taxonomies": [
        {
            "code": "315P00000X",
            "taxonomy_group": "",
            "desc": "Intermediate Care Facility, Intellectual Disabilities",
            "state": "OK",
            "license": "NH7257-7257",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Broken Arrow, OK

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 12, 2009; 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.