NPIMap

Organization Active NPI

Gatesway Foundation Inc

  • Intellectual Disabilities Intermediate Care Facility
  • Broken Arrow, OK
National Provider Identifier
1457501892
Registry record updated Sep 23, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
Intellectual Disabilities Intermediate Care FacilityTaxonomy code 315P00000X
License
NH7258-7258 Issued in OK
Legal business name
GATESWAY FOUNDATION INC
Practice address
1313 E. College
Broken Arrow, OK 74012
Phone
(918) 286-7506
Fax
(918) 286-7506
NPI assigned
Sep 23, 2008
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Sep 23, 2008

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 NH7258-7258 OK Primary

Addresses

Primary practice location

1313 E. College
Broken Arrow, OK 74012

Mailing address

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

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

Intermediate care facility for individuals with intellectual disabilities certification: CCN 37G148

Name & address match This certification has no NPI in the Medicare enrollment files. CMS publishes enrollment files for six facility types only, so it was connected to this NPI by matching the name and address CMS publishes for it.

Legal name
GATESWAY FOUNDATION, INC V
Certification status
Active
Provider type (POS)
Intermediate care facility for individuals with intellectual disabilities
Participating since
Oct 1, 2008
Last certification
Sep 24, 2025
Beds
16
Ownership / control type
Private (non-profit)
Facility address
1313 East College
Broken Arrow, OK 74012

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": "1222128000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1222128000000",
    "number": "1457501892",
    "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",
            "fax_number": "918-259-1482"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1313 E. COLLEGE",
            "city": "BROKEN ARROW",
            "state": "OK",
            "postal_code": "74012",
            "telephone_number": "918-286-7506",
            "fax_number": "918-286-7506"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "GATESWAY FOUNDATION INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2008-09-23",
        "last_updated": "2008-09-23",
        "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": "NH7258-7258",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Broken Arrow, OK

Sources for this page

Verify at the official NPI Registry.