Active NPI
Gateway Residential Services
- Community/Behavioral Health Agency
- Delta, CO
National Provider Identifier
1629653449
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Community/Behavioral Health Agency
- Legal business name
- GATEWAY RESIDENTIAL SERVICES
- Practice address
- 132 E 5TH St Ste 103
Delta, CO 81416-1901 - Phone
- (970) 823-0033
- NPI assigned
- Mar 12, 2021
- Organization subpart
- Yes
- Parent organization
- GATEWAY RESIDENTIAL SERVICES
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Kevin Graves
- Title
- President/Coo
- Phone
- (970) 823-0033
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Community/Behavioral Health Agency | 251S00000X | Primary |
Addresses
Primary practice location
132 E 5TH St Ste 103
Delta, CO 81416-1901
Mailing address
4575 Galley Rd Ste 100D
Colorado Springs, CO 80915-2747
Phone (970) 823-0033
National Provider Directory
National Provider Directory- Part of
- Gateway Residential Services
Locations
132 E 5th St
Ste 103
Delta, CO 81416
Phone (970) 823-0033
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1615507200000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1615507200000",
"number": "1629653449",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "4575 GALLEY RD STE 100D",
"city": "COLORADO SPRINGS",
"state": "CO",
"postal_code": "809152747",
"telephone_number": "970-823-0033"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "132 E 5TH ST STE 103",
"city": "DELTA",
"state": "CO",
"postal_code": "814161901",
"telephone_number": "970-823-0033"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "GATEWAY RESIDENTIAL SERVICES",
"organizational_subpart": "YES",
"parent_organization_legal_business_name": "GATEWAY RESIDENTIAL SERVICES",
"enumeration_date": "2021-03-12",
"last_updated": "2021-03-12",
"certification_date": "2021-03-12",
"status": "A",
"authorized_official_last_name": "GRAVES",
"authorized_official_first_name": "KEVIN",
"authorized_official_title_or_position": "PRESIDENT/COO",
"authorized_official_telephone_number": "970-823-0033"
},
"taxonomies": [
{
"code": "251S00000X",
"taxonomy_group": "",
"desc": "Community/Behavioral Health",
"state": null,
"license": null,
"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 Mar 12, 2021; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.