Organization Active NPI

Gateway Rehabilitation Center-Greensburg

  • Substance Use Disorder Rehabilitation Clinic/Center
  • Greensburg, PA
National Provider Identifier
1386645935
Registry record updated Jun 3, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Substance Use Disorder Rehabilitation Clinic/CenterTaxonomy code 261QR0405X
License
657040 Issued in PA
Legal business name
GATEWAY REHABILITATION CENTER-GREENSBURG
Practice address
212 Outlet Way
Suite 1
Greensburg, PA 15601-7197
Phone
(724) 853-7300
Fax
(724) 853-8018
NPI assigned
Aug 4, 2005
Organization subpart
Yes
Parent organization
GATEWAY REHABILITATION CENTERAs reported in NPPES

NPPES NPI Registry

Updated by the provider on Jun 3, 2022

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

Authorized official

Name
Mr. James Troup
Title
President/Ceo
Phone
(412) 766-8700

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Substance Use Disorder Rehabilitation Clinic/Center 261QR0405X 657040 PA Primary

Addresses

Primary practice location

212 Outlet Way
Suite 1
Greensburg, PA 15601-7197

Mailing address

311 Rouser Rd
Moon Township, PA 15108-2719
Phone (412) 604-8900

Other identifiers 3

IdentifierTypeStateIssuer
1007607430096MedicaidPA
1007607430076MedicaidPA
1007607430075MedicaidPA

National Provider Directory

National Provider Directory
Tax ID family
Gateway Rehabilitation Center12 organizations share this tax ID, including this one
Part of
Gateway Rehabilitation Center

Other organizations with this tax ID 11

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

Ownership & related parties

Parent organization (reported in NPPES) 1

This organization reports itself as a subpart in NPPES; the parent’s legal name matches this organization in the same state.

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": "1123113600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1654214400000",
    "number": "1386645935",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "311 ROUSER RD",
            "city": "MOON TOWNSHIP",
            "state": "PA",
            "postal_code": "151082719",
            "telephone_number": "412-604-8900",
            "fax_number": "412-299-8755"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "212 OUTLET WAY",
            "address_2": "SUITE 1",
            "city": "GREENSBURG",
            "state": "PA",
            "postal_code": "156017197",
            "telephone_number": "724-853-7300",
            "fax_number": "724-853-8018"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "GATEWAY REHABILITATION CENTER-GREENSBURG",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "GATEWAY REHABILITATION CENTER",
        "enumeration_date": "2005-08-04",
        "last_updated": "2022-06-03",
        "certification_date": "2022-06-03",
        "status": "A",
        "authorized_official_last_name": "TROUP",
        "authorized_official_first_name": "JAMES",
        "authorized_official_title_or_position": "PRESIDENT/CEO",
        "authorized_official_telephone_number": "412-766-8700",
        "authorized_official_name_prefix": "Mr."
    },
    "taxonomies": [
        {
            "code": "261QR0405X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Rehabilitation, Substance Use Disorder",
            "state": "PA",
            "license": "657040",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1007607430096",
            "state": "PA"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1007607430076",
            "state": "PA"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1007607430075",
            "state": "PA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Greensburg, PA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 3, 2022; 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.