GATEWAY RESIDENTIAL PROGRAMS FAIR OAKS HOUSE
NPI 1295351039
Residential Treatment Facility, Emotionally Disturbed Children in Fair Oaks, CA

Q: What is Gateway Residential Programs Fair Oaks House's specialty?

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

Active since June 17, 2020

11990 FAIR OAKS BLVD, FAIR OAKS, CA 95628(916) 967-1401(916) 782-4544 Get Directions Write a Review

NPPES record last updated: September 7, 2022. Verified against the NPPES registry weekly; last sync: August 16, 2026.

Record update history: Sep 7, 2022, Jun 17, 2020 (2 updates tracked since 2020).

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About Gateway Residential Programs Fair Oaks House NPPES

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

GATEWAY RESIDENTIAL PROGRAMS FAIR OAKS HOUSE (NPI 1295351039) is a healthcare organization registered as a residential treatment facility, emotionally disturbed children in Fair Oaks, California and active in the NPI registry since June 2020. The organization lists Jeff Beesley, Executive Director, as its authorized official.

NPPES Registry Identity

NPI1295351039

Entity TypeOrganization

Primary Taxonomy322D00000X

Legal Business NameGATEWAY RESIDENTIAL PROGRAMS FAIR OAKS HOUSE

Location Address11990 FAIR OAKS BLVDFair Oaks, CA 95628-2770

Mailing Address1780 Vernon St Ste 1Roseville, CA 95678-6311 · (916) 782-1111 · Fax (916) 782-4544

Phone(916) 967-1401

Fax(916) 782-4544

Organization SubpartYesParent: Gateway Residential Programs

Authorized OfficialJeff BeesleyExecutive Director · (916) 782-1111

Enumeration DateJune 17, 2020

Last NPPES UpdateSeptember 7, 20222 updates tracked since enumeration

NPPES CertifiedSeptember 7, 2022

✔ NPI 1295351039 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ 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.

Also ListedCommunity Based Residential Treatment Facility, Mental IllnessTaxonomy 320800000X

11990 FAIR OAKS BLVD, Fair Oaks, CA 95628

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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 Gateway Residential Programs Fair Oaks House's NPI number?

The NPI number for Gateway Residential Programs Fair Oaks House is 1295351039. It was assigned to this organization in the NPPES registry on June 17, 2020.

Where is Gateway Residential Programs Fair Oaks House located?

Gateway Residential Programs Fair Oaks House is located at 11990 Fair Oaks Blvd, Fair Oaks, CA 95628. The listed phone number is (916) 967-1401.

What is Gateway Residential Programs Fair Oaks House'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 Gateway Residential Programs Fair Oaks House was last updated on September 7, 2022. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 3 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.