Gateway Foundation, Inc.
NPI 1205682119 · Substance Use Disorder Rehabilitation Clinic/Center · Peoria, IL
Gateway Foundation, Inc. is a Substance Use Disorder Rehabilitation Clinic/Center organization in Peoria, IL (NPI 1205682119).
Provider details
- NPI number
- 1205682119
- Entity type
- Organization
- Primary specialty
- Substance Use Disorder Rehabilitation Clinic/CenterAmbulatory Health Care Facilities
- Organization subpart
- No
- Authorized official
- Latina Russell, Credentialing Specialist(312) 663-1130
Specialties & taxonomies
Ambulatory Health Care Facilities
Profile Score
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure38% of score
2 yrs in NPPES registry
- Profile completeness38% of score
100% of core fields populated
- Practice footprint23% of score
1 documented practice location
Signals a provider has no public data for (e.g. Medicare claims) are left out of the score entirely — never counted as zero — so providers without that data are not penalized. See the full formula and weights in our methodology.
Practice location
Mailing address
Registry dates
- Enumerated
- 2024-04-30
- Last updated
- 2024-04-30
- Certified
- 2024-04-30
Frequently asked questions
- What is Gateway Foundation, Inc.'s NPI number?
- Gateway Foundation, Inc.'s National Provider Identifier (NPI) is 1205682119, a unique 10-digit ID issued by CMS for use in standard healthcare transactions.
- What type of organization is Gateway Foundation, Inc.?
- Gateway Foundation, Inc. is classified in the NPPES registry as Substance Use Disorder Rehabilitation Clinic/Center (Ambulatory Health Care Facilities).
- Where is Gateway Foundation, Inc. located?
- Gateway Foundation, Inc.'s practice location on file with NPPES is 4812 N Sheridan Rd, Peoria, IL 61614-5969.
- What is Gateway Foundation, Inc.'s phone number?
- The practice phone number listed in the NPPES registry for Gateway Foundation, Inc. is (877) 381-6538.
- Who is the authorized official for Gateway Foundation, Inc.?
- The authorized official listed on Gateway Foundation, Inc.'s NPPES record is Latina Russell, Credentialing Specialist. The authorized official registers and maintains the organization's NPI and is not necessarily its owner.
- Is Gateway Foundation, Inc.'s NPI active?
- Yes — Gateway Foundation, Inc.'s NPI (1205682119) is active in the NPPES registry as of the last update on 2024-04-30.
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.