Organization Active NPI

Gateway Gardens Assisted Living, Inc.

  • Adult Care Home Facility
  • Eugene, OR
National Provider Identifier
1841727617
Registry record updated Dec 4, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Adult Care Home FacilityTaxonomy code 311ZA0620X
License
1881328760 Issued in OR
Legal business name
GATEWAY GARDENS ASSISTED LIVING, INC.
Practice address
178 Commons Dr
Eugene, OR 97401-8923
Phone
(541) 302-1283
Fax
(541) 302-1339
NPI assigned
May 11, 2017
Last updated
Dec 4, 2020By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Dec 4, 2020

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

Authorized official

Name
Barbara Britt
Title
Chief Financial Officer
Phone
(541) 023-1667

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Adult Care Home Facility 311ZA0620X 1881328760 OR Primary

Addresses

Primary practice location

178 Commons Dr
Eugene, OR 97401-8923

Mailing address

PO Box 1848
Eugene, OR 97440-1848
Phone (541) 302-1667

Other identifiers 1

IdentifierTypeStateIssuer
513856MedicaidOR

Laboratory certificates & supplier records

Derived by NPIMap

These CMS records do not include an NPI. They are shown because their name and street address match this provider’s.

CLIA laboratory certificates

CLIA numberLaboratoryCertificateExpires
38D2269770Gateway Gardens178 Commons Drive, Eugene, OR 97401Certificate of waiverOct 2, 2026

National Provider Directory

National Provider Directory

Locations

178 Commons Dr
Eugene, OR 97401
Phone (541) 302-1283

NPI Registry JSON

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

{
    "created_epoch": "1494460800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1607040000000",
    "number": "1841727617",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 1848",
            "city": "EUGENE",
            "state": "OR",
            "postal_code": "974401848",
            "telephone_number": "541-302-1667",
            "fax_number": "541-302-1339"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "178 COMMONS DR",
            "city": "EUGENE",
            "state": "OR",
            "postal_code": "974018923",
            "telephone_number": "541-302-1283",
            "fax_number": "541-302-1339"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "GATEWAY GARDENS ASSISTED LIVING, INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2017-05-11",
        "last_updated": "2020-12-04",
        "certification_date": "2020-12-04",
        "status": "A",
        "authorized_official_last_name": "BRITT",
        "authorized_official_first_name": "BARBARA",
        "authorized_official_title_or_position": "CHIEF FINANCIAL OFFICER",
        "authorized_official_telephone_number": "541-023-1667"
    },
    "taxonomies": [
        {
            "code": "311ZA0620X",
            "taxonomy_group": "",
            "desc": "Custodial Care Facility, Adult Care Home",
            "state": "OR",
            "license": "1881328760",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "513856",
            "state": "OR"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Eugene, OR

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 4, 2020; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.