NPIMap

Organization Active NPI

Gateway Academy, LLC

  • Mental Illness Community Based Residential Treatment Facility
  • Salt Lake City, UT
National Provider Identifier
1427425859
Registry record updated Sep 2, 2015
On this page

Key facts

NPPES NPI Registry
Primary specialty
Mental Illness Community Based Residential Treatment FacilityTaxonomy code 320800000X
License
3132 Issued in UT
Legal business name
GATEWAY ACADEMY, LLC
Practice address
2487 S 700 E
Salt Lake City, UT 84106-1722
Phone
(801) 523-3479
Fax
(801) 437-2984
NPI assigned
Sep 2, 2015
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Sep 2, 2015

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

Authorized official

Name
Angie Evans
Title
Bo
Phone
(801) 766-6604

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Mental Illness Community Based Residential Treatment Facility 320800000X 3132 UT Primary

Addresses

Primary practice location

2487 S 700 E
Salt Lake City, UT 84106-1722

Mailing address

2487 S 700 E
Salt Lake City, UT 84106-1722
Phone (801) 523-3479

National Provider Directory

National Provider Directory
Tax ID family
Gateway Academy LLC4 organizations share this tax ID, including this one

Other organizations with this tax ID 3

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

NPI Registry JSON

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

{
    "created_epoch": "1441152000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1441152000000",
    "number": "1427425859",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2487 S 700 E",
            "city": "SALT LAKE CITY",
            "state": "UT",
            "postal_code": "841061722",
            "telephone_number": "801-523-3479",
            "fax_number": "801-437-2984"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2487 S 700 E",
            "city": "SALT LAKE CITY",
            "state": "UT",
            "postal_code": "841061722",
            "telephone_number": "801-523-3479",
            "fax_number": "801-437-2984"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "GATEWAY ACADEMY, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2015-09-02",
        "last_updated": "2015-09-02",
        "status": "A",
        "authorized_official_last_name": "EVANS",
        "authorized_official_first_name": "ANGIE",
        "authorized_official_title_or_position": "BO",
        "authorized_official_telephone_number": "801-766-6604"
    },
    "taxonomies": [
        {
            "code": "320800000X",
            "taxonomy_group": "",
            "desc": "Community Based Residential Treatment Facility, Mental Illness",
            "state": "UT",
            "license": "3132",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Salt Lake City, UT

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 2, 2015; 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.