NPIMap

Organization Active NPI

Gateway Community Service Board

Doing business as 51st Street Group Home

  • Intellectual and/or Developmental Disabilities Community Based Residential Treatment Facility
  • Savannah, GA
National Provider Identifier
1740313501
Registry record updated Mar 31, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Intellectual and/or Developmental Disabilities Community Based Residential Treatment FacilityTaxonomy code 320900000X
License
025011408 Issued in GA
Legal business name
GATEWAY COMMUNITY SERVICE BOARD
Doing business as
51st Street Group Home
Practice address
1915 East 51St Street
Savannah, GA 31404
Phone
(912) 353-3089
Fax
(912) 351-6490
NPI assigned
Mar 13, 2007
Last updated
Mar 31, 2026By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Mar 31, 2026

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

Authorized official

Name
Miranda Horne
Title
Revenue Cycle Manager
Phone
(912) 280-7023

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Intellectual and/or Developmental Disabilities Community Based Residential Treatment Facility 320900000X 025011408 GA Primary

Addresses

Primary practice location

1915 East 51St Street
Savannah, GA 31404

Mailing address

121 Burgess Rd Ste 2
Brunswick, GA 31523-9311
Phone (912) 280-7023

Other identifiers 1

IdentifierTypeStateIssuer
000622553MMedicaidGA

Other names 2

  • 51st Street Group Home Doing business as
  • GATEWAY COMMUNITY SERVICE BOARD Other name

National Provider Directory

National Provider Directory
Tax ID family
Marsh Haven72 organizations share this tax ID, including this one

Organizations with this tax ID in the same state 24

This tax ID family is large, so up to 24 of its organizations in the same state are linked here.

View all 24

Locations

3441 Cypress Mill Rd
Ste 2
Brunswick, GA 31520

NPI Registry JSON

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

{
    "created_epoch": "1173744000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1774915200000",
    "number": "1740313501",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "121 BURGESS RD STE 2",
            "city": "BRUNSWICK",
            "state": "GA",
            "postal_code": "315239311",
            "telephone_number": "912-280-7023",
            "fax_number": "912-289-0909"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1915 EAST 51ST STREET",
            "city": "SAVANNAH",
            "state": "GA",
            "postal_code": "31404",
            "telephone_number": "912-353-3089",
            "fax_number": "912-351-6490"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "GATEWAY COMMUNITY SERVICE BOARD",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-03-13",
        "last_updated": "2026-03-31",
        "certification_date": "2026-03-31",
        "status": "A",
        "authorized_official_last_name": "HORNE",
        "authorized_official_first_name": "MIRANDA",
        "authorized_official_title_or_position": "REVENUE CYCLE MANAGER",
        "authorized_official_telephone_number": "912-280-7023"
    },
    "taxonomies": [
        {
            "code": "320900000X",
            "taxonomy_group": "",
            "desc": "Community Based Residential Treatment Facility, Intellectual and/or Developmental Disabilities",
            "state": "GA",
            "license": "025011408",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "000622553M",
            "state": "GA"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "51st Street Group Home",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "51st Street Group Home",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "GATEWAY COMMUNITY SERVICE BOARD",
            "code": "5",
            "type": "Other Name"
        }
    ]
}

Other providers in Savannah, GA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 31, 2026; 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.