NPIMap

Organization Active NPI

Gateway Residential Services

  • Mental Illness Community Based Residential Treatment Facility
  • Delta, CO
National Provider Identifier
1598044547
Registry record updated Aug 9, 2011
On this page

Key facts

NPPES NPI Registry
Primary specialty
Mental Illness Community Based Residential Treatment FacilityTaxonomy code 320800000X
License
1609500 Issued in CO
Legal business name
GATEWAY RESIDENTIAL SERVICES
Practice address
3338 Ash Mesa Rd
Delta, CO 81416-8766
Phone
(970) 209-8691
Fax
(866) 799-7523
NPI assigned
Aug 9, 2011
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 9, 2011

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

Authorized official

Name
Kevin Graves
Title
President
Phone
(719) 641-3827

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Mental Illness Community Based Residential Treatment Facility 320800000X 1609500 CO Primary

Addresses

Primary practice location

3338 Ash Mesa Rd
Delta, CO 81416-8766

Mailing address

3346 Ash Mesa Rd
Delta, CO 81416-8766
Phone (970) 209-8691

National Provider Directory

National Provider Directory
Tax ID family
Gateway Residential Services2 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.

NPI Registry JSON

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

{
    "created_epoch": "1312848000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1312848000000",
    "number": "1598044547",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3346 ASH MESA RD",
            "city": "DELTA",
            "state": "CO",
            "postal_code": "814168766",
            "telephone_number": "970-209-8691",
            "fax_number": "866-799-7523"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3338 ASH MESA RD",
            "city": "DELTA",
            "state": "CO",
            "postal_code": "814168766",
            "telephone_number": "970-209-8691",
            "fax_number": "866-799-7523"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "GATEWAY RESIDENTIAL SERVICES",
        "organizational_subpart": "NO",
        "enumeration_date": "2011-08-09",
        "last_updated": "2011-08-09",
        "status": "A",
        "authorized_official_last_name": "GRAVES",
        "authorized_official_first_name": "KEVIN",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "719-641-3827"
    },
    "taxonomies": [
        {
            "code": "320800000X",
            "taxonomy_group": "",
            "desc": "Community Based Residential Treatment Facility, Mental Illness",
            "state": "CO",
            "license": "1609500",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Delta, CO

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 9, 2011; 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.