GATEWAY COMMUNITY SERVICE BOARD
NPI 1619519709
Community Based Residential Treatment Facility, Intellectual and/or Developmental Disabilities in Brunswick, GA
NPI Status: Active since October 10, 2019
Contact Information
516 FREEDOM TRL
BRUNSWICK, GA
ZIP 31525
Phone: (912) 554-8500
- Organization
- Community Based Residential Treatment Fa...
- CLIA Number: 11D2279113
- CLIA Cert. Type: Other - MH/SUD/IDD OUTPATIENT
- CLIA Exp. Date: 03-28-2027
About GATEWAY COMMUNITY SERVICE BOARD
This page provides the complete NPI Profile along with additional information for Gateway Community Service Board, a provider established in Brunswick, Georgia operating as a Community Based Residential Treatment Facility, Intellectual And/or Developmental Disabilities. The healthcare provider is registered in the NPI registry with number 1619519709 assigned on October 2019. The practitioner's primary taxonomy code is 320900000X. The provider is registered as an organization and their NPI record was last updated March 2026. The authorized official of this NPI record is Miranda Horne (Revenue Cycle Manager)
- NPI
- 1619519709
- Provider Name
- GATEWAY COMMUNITY SERVICE BOARD
- Entity Type
- Organization
- Location Address
- 516 FREEDOM TRL BRUNSWICK, GA 31525
- Location Phone
- (912) 554-8500
- Mailing Address
- 121 BURGESS RD BRUNSWICK, GA 31523
- Mailing Phone
- (912) 280-7023
- Mailing Fax
- Is Sole Proprietor?
- No
- Is Organization Subpart?
- Yes
- Enumeration Date
- 10-10-2019
- Last Update Date
- 03-31-2026
- Code Navigator
Location Map
Specialty - Primary Taxonomy
The NPI enumerator requires providers to submit at least one taxonomy code. A taxonomy code is a unique 10-character code that describes the healthcare provider type, classification, and the area of specialization. There could be only one primary taxonomy code per NPI record. For individual NPIs the license data is associated to the taxonomy code.
- Classification
Community Based Residential Treatment Facility, Intellectual and/or Developmental Disabilities
- Taxonomy Code
- 320900000X
- Type
- Residential Treatment Facilities
- Taxonomy Description
- A home-like residential facility providing habilitation, support and monitoring services to individuals diagnosed with mental retardation and/or developmental disabilities.
CLIA Information
The Clinical Laboratory Improvement Amendments (CLIA) of 1988 applies to facilities or sites that test human specimens for health assessment or to diagnose, prevent, or treat disease. The CLIA Program sets standards for clinical laboratory testing and issues certificates. The NPI / CLIA crosswalk information for this NPI number is:
- CLIA Number
- 11D2279113
- Facility Type
- Other - MH/SUD/IDD OUTPATIENT
- Certificate Effective Date
- March 29, 2025
- Certificate Expiration Date
- March 28, 2027
- Laboratory Director
- CATHERINE THOMPSON
- Certificate Type
- Certificate of Waiver
- Certificate Type Description
- This CLIA certificate is issued to Gateway Community Service Board to perform only waived tests. CLIA defines waived tests as simple tests with a low risk for an incorrect result. Waived tests include certain tests listed in CLIA regulations, tests cleared by the FDA for home use and tests approved by the FDA for waived status and that meet CLIA waiver criteria.
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NPI NPI Number Validation
How NPI Validation Works
The NPI validation process uses the ISO-standard Luhn algorithm, a mathematical "handshake", to ensure that a provider's 10-digit ID is authentic and free of common typing errors.
To verify the NPI 1619519709, we treat the final digit (9) as the Check Digit—the target answer we need to reach. The process begins by taking the first nine digits and adding a constant value of 24, which accounts for the "80840" prefix required for all U.S. health identifiers. We then double every other digit starting from the right and sum the individual digits of those results together. For this specific NPI, that total comes to 61. The final step is to find the difference between that total and the next multiple of ten (70 - 61 = 9).
Digit-by-digit view
Use the first nine digits for the calculation. Starting from the right, double every other digit. The last digit is the check digit and is not part of the calculation.
Step 1: Double every other digit from the right
Starting with the rightmost digit of the first nine digits, double every other value. If doubling creates a two-digit number, add those digits together.
Step 2: Add all digits plus the NPI constant
Add the transformed values, the unchanged digits, and the constant 24.
Step 3: Find the amount needed to reach the next multiple of 10
The next multiple of ten after 61 is 70. The difference is the calculated check digit.
Frequently Asked Questions
The NPI number assigned to this healthcare provider is 1619519709, enumerated as an "organization" on October 10, 2019.
The provider is located at 516 FREEDOM TRL BRUNSWICK, GA 31525 and the phone number is (912) 554-8500.
Community Based Residential Treatment Facility, Intellectual and/or Developmental Disabilities with taxonomy code 320900000X.
