Gateway Residential Supports

Primary specialty

Intellectual and/or Developmental Disabilities Community Based Residential Treatment FacilityTaxonomy code 320900000X

Legal business name

GATEWAY RESIDENTIAL SUPPORTS

Practice address

4321 Southern Pkwy
Louisville, KY 40214-1583

Phone

(502) 395-1672

NPI assigned

Mar 16, 2018

Organization subpart

No

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

Authorized official

Name

Stacey Milligan

Title

Executive Director

Phone

(502) 223-2488

Specialties & licenses 1

Addresses

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

{
    "created_epoch": "1521158400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1521158400000",
    "number": "1740783679",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4321 SOUTHERN PKWY",
            "city": "LOUISVILLE",
            "state": "KY",
            "postal_code": "402141583"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4321 SOUTHERN PKWY",
            "city": "LOUISVILLE",
            "state": "KY",
            "postal_code": "402141583",
            "telephone_number": "502-395-1672"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "GATEWAY RESIDENTIAL SUPPORTS",
        "organizational_subpart": "NO",
        "enumeration_date": "2018-03-16",
        "last_updated": "2018-03-16",
        "status": "A",
        "authorized_official_last_name": "MILLIGAN",
        "authorized_official_first_name": "STACEY",
        "authorized_official_title_or_position": "EXECUTIVE DIRECTOR",
        "authorized_official_telephone_number": "502-223-2488"
    },
    "taxonomies": [
        {
            "code": "320900000X",
            "taxonomy_group": "",
            "desc": "Community Based Residential Treatment Facility, Intellectual and/or Developmental Disabilities",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Jeremiah Gates Jr., D.M.D.
• Lonna Marie Gates, MA, CCC-SLP
• Patricia L Gates, ARNP, BSN
• William A. Gates, M.D.
• Gateway at Norton Rehabilitation Hospital, LLC
• Gateway to Hope Recovery House
• Krishna Gathani, DPM
• Pinal Gathani, PHARM D.
• Suraj K Gathani, M.D.
• Ebony Gathright

• Intellectual and/or Developmental Disabilities Community Based Residential Treatment Facility in Louisville, KY
• Providers in Louisville, KY by specialty
• Intellectual and/or Developmental Disabilities Community Based Residential Treatment Facility in Kentucky

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 16, 2018; 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.