NPIMap

Organization Active NPI

Gateway Rehabilitation Center-Erie

  • Substance Abuse Rehabilitation Facility
  • Erie, PA
National Provider Identifier
1841291044
Registry record updated Jun 3, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Substance Abuse Rehabilitation FacilityTaxonomy code 324500000X
License
257067 Issued in PA
Legal business name
GATEWAY REHABILITATION CENTER-ERIE
Practice address
1928 Wager Rd
Erie, PA 16509-4054
Phone
(814) 825-0373
Fax
(814) 825-0483
NPI assigned
Aug 10, 2005
Organization subpart
Yes
Parent organization
GATEWAY REHABILITATION CENTERAs reported in NPPES

NPPES NPI Registry

Updated by the provider on Jun 3, 2022

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

Authorized official

Name
Mr. James Troup
Title
President/Ceo
Phone
(412) 604-8900

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Substance Abuse Rehabilitation Facility 324500000X 257067 PA Primary

Addresses

Primary practice location

1928 Wager Rd
Erie, PA 16509-4054

Mailing address

311 Rouser Rd
Moon Township, PA 15108-2719
Phone (412) 604-8900

Other identifiers 2

IdentifierTypeStateIssuer
1007607430078MedicaidPA
1007607430077MedicaidPA

National Provider Directory

National Provider Directory
Tax ID family
Gateway Rehabilitation Center12 organizations share this tax ID, including this one
Part of
Gateway Rehabilitation Center

Other organizations with this tax ID 11

Organizations that report the same tax identification number in the National Provider Directory.

Locations

1928 Wager Rd
Erie, PA 16509
Phone (814) 825-0373

Ownership & related parties

Parent organization (reported in NPPES) 1

This organization reports itself as a subpart in NPPES; the parent’s legal name matches this organization in the same state.

NPI Registry JSON

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

{
    "created_epoch": "1123632000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1654214400000",
    "number": "1841291044",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "311 ROUSER RD",
            "city": "MOON TOWNSHIP",
            "state": "PA",
            "postal_code": "151082719",
            "telephone_number": "412-604-8900",
            "fax_number": "412-299-8751"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1928 WAGER RD",
            "city": "ERIE",
            "state": "PA",
            "postal_code": "165094054",
            "telephone_number": "814-825-0373",
            "fax_number": "814-825-0483"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "GATEWAY REHABILITATION CENTER-ERIE",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "GATEWAY REHABILITATION CENTER",
        "enumeration_date": "2005-08-10",
        "last_updated": "2022-06-03",
        "certification_date": "2022-06-03",
        "status": "A",
        "authorized_official_last_name": "TROUP",
        "authorized_official_first_name": "JAMES",
        "authorized_official_title_or_position": "PRESIDENT/CEO",
        "authorized_official_telephone_number": "412-604-8900",
        "authorized_official_name_prefix": "Mr."
    },
    "taxonomies": [
        {
            "code": "324500000X",
            "taxonomy_group": "",
            "desc": "Substance Abuse Rehabilitation Facility",
            "state": "PA",
            "license": "257067",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1007607430078",
            "state": "PA"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1007607430077",
            "state": "PA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Erie, PA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 3, 2022; 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.