GATEWAYS GROUP HOME
NPI 1083755615
Residential Treatment Facility, Emotionally Disturbed Children in Columbia, SC

Active since February 08, 2007
1600 SHIVERS RD, COLUMBIA, SC 29210(803) 896-9122(803) 896-8476 Get Directions Write a Review

NPPES record last updated: August 22, 2020. Verified against the NPPES registry weekly; last sync: July 26, 2026.

About Gateways Group Home NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

GATEWAYS GROUP HOME (NPI 1083755615) is a healthcare organization registered as a residential treatment facility, emotionally disturbed children in Columbia, South Carolina and active in the NPI registry since February 2007. The organization lists Mia L Richardson, Medicaid Project Administrator, as its authorized official.

NPPES Registry Identity

NPI1083755615
Entity TypeOrganization
Primary Taxonomy322D00000X
Legal Business NameSOUTH CAROLINA DEPARTMENT OF JUVENILE JUSTICE
Location Address1600 SHIVERS RDColumbia, SC 29210-5429
Mailing AddressPo Box 21069Columbia, SC 29221-1069 · (806) 896-4751 · Fax (803) 896-8473
Fax(803) 896-8476
Organization SubpartNo
Authorized OfficialMia L RichardsonMedicaid Project Administrator · (803) 896-4751
Enumeration DateFebruary 8, 2007
Last NPPES UpdateAugust 22, 2020
NPI 1083755615 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyResidential Treatment Facility, Emotionally Disturbed ChildrenResidential Treatment Facilities
Taxonomy Code322D00000X
Definition

A residential facility that provides habilitation services and other care and treatment to children diagnosed with mental health illness, behavioral issues, and intellectual disabilities and are not able to live independently.

1600 SHIVERS RD, Columbia, SC 29210

Other Names 1

Other NameGateways Group Home

Other Identifiers 1

MedicaidDJJ056SC

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is South Carolina Department Of Juvenile Justice's NPI number?

The NPI number for South Carolina Department Of Juvenile Justice is 1083755615. It was assigned to this organization in the NPPES registry on February 8, 2007. The provider is also known as Gateways Group Home.

Where is South Carolina Department Of Juvenile Justice located?

South Carolina Department Of Juvenile Justice is located at 1600 Shivers Rd, Columbia, SC 29210. The listed phone number is (803) 896-9122.

What is South Carolina Department Of Juvenile Justice's specialty?

The primary specialty registered for this NPI is Residential Treatment Facility, Emotionally Disturbed Children with taxonomy code 322D00000X.

When was this NPI record last updated?

The NPPES record for South Carolina Department Of Juvenile Justice was last updated on August 22, 2020. NPI Profile syncs with the weekly NPPES data releases published by CMS.