Active NPI
Gateway Gardens Assisted Living, Inc.
- Adult Care Home Facility
- Eugene, OR
National Provider Identifier
1841727617
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Adult Care Home Facility
- License
- 1881328760
- 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, 2020
- Organization subpart
- No
NPPES NPI Registry
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) | Code | License | State | Primary |
|---|---|---|---|---|
| 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
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 513856 | Medicaid | OR |
Laboratory certificates & supplier records
Derived by NPIMapThese CMS records do not include an NPI. They are shown because their name and street address match this provider’s.
CLIA laboratory certificates
| CLIA number | Laboratory | Certificate | Expires |
|---|---|---|---|
| 38D2269770 | Gateway Gardens | Certificate of waiver | Oct 2, 2026 |
National Provider Directory
National Provider DirectoryLocations
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.