GATEWAY AT RIVER CITY
NPI 1891241022
Assisted Living Facility in Peoria, IL

Q: What is Peoria Slf LP's NPI number?

The NPI number for Peoria Slf LP is 1891241022. It was assigned to this organization in the NPPES registry on August 28, 2016. The provider is doing business as Gateway At River City.

Q: What is Peoria Slf LP's specialty?

The primary specialty registered for this NPI is Assisted Living Facility with taxonomy code 310400000X.

Q: When was this NPI record last updated?

The NPPES record for Peoria Slf LP was last updated on August 28, 2016. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 9 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.

Active since August 28, 2016CLIA 14D2199044 · Waiver

518 WEST ROMEO B. GARRETT AVENUE, PEORIA, IL 61605(309) 673-3115(309) 673-3117 Get Directions Write a Review

NPPES record last updated: August 28, 2016. Verified against the NPPES registry weekly; last sync: August 09, 2026.

On this page

About Gateway At River City NPPES

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

GATEWAY AT RIVER CITY (NPI 1891241022) is a healthcare organization registered as an assisted living facility in Peoria, Illinois and active in the NPI registry since August 2016. The organization holds a CLIA Waiver certificate valid through November 4, 2026 and lists Joellen Bleavins, President Of Gardant Management Sol, as its authorized official.

NPPES Registry Identity

NPI1891241022

Entity TypeOrganization

Primary Taxonomy310400000X

Legal Business NamePEORIA SLF LP

Location Address518 WEST ROMEO B. GARRETT AVENUEPeoria, IL 61605

Mailing Address518 West Romeo B. Garrett AvenuePeoria, IL 61605 · (309) 673-3115 · Fax (309) 673-3117

Phone(309) 673-3115

Fax(309) 673-3117

Organization SubpartNo

Authorized OfficialJoellen BleavinsPresident Of Gardant Management Sol · (815) 935-1992

Enumeration DateAugust 28, 2016

✔ NPI 1891241022 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyAssisted Living FacilityNursing & Custodial Care Facilities

Taxonomy Code310400000X

Definition

A facility providing supportive services to individuals who can function independently in most areas of activity, but need assistance and/or monitoring to assure safety and well being.

518 WEST ROMEO B. GARRETT AVENUE, Peoria, IL 61605

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Other Names 1

Doing Business AsGateway At River City

CLIA Laboratory Certificates CMS CLIA

Laboratory certificates issued under the Clinical Laboratory Improvement Amendments (CLIA) program, which sets federal quality standards for human laboratory testing in the United States. There is no official CMS crosswalk between CLIA and NPI numbers; these certificates are associated with this NPI by matching facility names, locations and phone numbers in the CMS CLIA registry.

Certificate of Waiver 14D2199044

Gateway At River City Peoria Slf · Peoria, IL

Active · expires Nov 4, 2026

CLIA Number14D2199044

Laboratory TypeAssisted Living Facility

Certificate Effective DateNovember 5, 2024

Certificate Expiration DateNovember 4, 2026

Laboratory DirectorDakota C. Deal

Laboratory Phone(309) 673-3115

Laboratory LocationGateway At River City Peoria Slf518 Romeo B Garrett Ave, Peoria, IL 61605

CLIA data matches this NPI record on: Name Phone

This certificate is issued to a laboratory to perform only waived tests.

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 Peoria Slf LP's NPI number?

The NPI number for Peoria Slf LP is 1891241022. It was assigned to this organization in the NPPES registry on August 28, 2016. The provider is doing business as Gateway At River City.

Where is Peoria Slf LP located?

Peoria Slf LP is located at 518 West Romeo B. Garrett Avenue, Peoria, IL 61605. The listed phone number is (309) 673-3115.

What is Peoria Slf LP's specialty?

The primary specialty registered for this NPI is Assisted Living Facility with taxonomy code 310400000X.

Does Peoria Slf LP hold a CLIA laboratory certificate?

Yes. A Certificate of Waiver (number 14D2199044) is associated with this NPI, valid through November 4, 2026. CLIA certificates authorize laboratory testing under the federal Clinical Laboratory Improvement Amendments program.

When was this NPI record last updated?

The NPPES record for Peoria Slf LP was last updated on August 28, 2016. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 9 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.