GATEWAY COMMUNITY SERVICE BOARD
NPI 1619519709
Community Based Residential Treatment Facility, Intellectual and/or Developmental Disabilities in Brunswick, GA

Active since October 10, 2019
516 FREEDOM TRL, BRUNSWICK, GA 31525(912) 554-8500 Get Directions Write a Review

NPPES record last updated: March 31, 2026. Verified against the NPPES registry weekly; last sync: September 13, 2026.

Record update history: Mar 31, 2026, Oct 10, 2019 (2 updates tracked since 2019).

About Gateway Community Service Board NPPES

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

GATEWAY COMMUNITY SERVICE BOARD (NPI 1619519709), doing business as Freedom Trail, is a healthcare organization registered as a community based residential treatment facility, intellectual and/or developmental disabilities in Brunswick, Georgia and active in the NPI registry since October 2019. The organization lists Miranda Horne, Revenue Cycle Manager, as its authorized official.

NPPES Registry Identity

NPI1619519709
Entity TypeOrganization
Primary Taxonomy320900000X
Legal Business NameGATEWAY COMMUNITY SERVICE BOARD
Location Address516 FREEDOM TRLBrunswick, GA 31525-4712
Mailing Address121 Burgess RdBrunswick, GA 31523-9311 · (912) 280-7023 · Fax (912) 289-0909
Organization SubpartYesParent: Gateway Behavioral Health Services
Authorized OfficialMiranda HorneRevenue Cycle Manager · (912) 280-7023
Enumeration DateOctober 10, 2019
Last NPPES UpdateMarch 31, 20262 updates tracked since enumeration
NPPES CertifiedMarch 31, 2026
NPI 1619519709 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Taxonomy Code320900000X
Definition
A home-like residential facility providing habilitation, support and monitoring services to individuals diagnosed with mental retardation and/or developmental disabilities.
516 FREEDOM TRL, Brunswick, GA 31525

Other Names 2

Doing Business AsFreedom Trail
Other NameGateway Community Service Board

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 Community Service Board's NPI number?

The NPI number for Gateway Community Service Board is 1619519709. It was assigned to this organization in the NPPES registry on October 10, 2019. The provider is doing business as Freedom Trail.

Where is Gateway Community Service Board located?

Gateway Community Service Board is located at 516 Freedom Trl, Brunswick, GA 31525. The listed phone number is (912) 554-8500.

What is Gateway Community Service Board's specialty?

The primary specialty registered for this NPI is Community Based Residential Treatment Facility, Intellectual and/or Developmental Disabilities with taxonomy code 320900000X.

When was this NPI record last updated?

The NPPES record for Gateway Community Service Board was last updated on March 31, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 5 months 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.