Provider Demographics
NPI:1871190280
Name:GATEWAYS TO BETTER LIVING INC.
Entity Type:Organization
Organization Name:GATEWAYS TO BETTER LIVING INC.
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:CFO
Authorized Official - Prefix:
Authorized Official - First Name:JAMES
Authorized Official - Middle Name:
Authorized Official - Last Name:LINERT
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:330-792-2854
Mailing Address - Street 1:6000 MAHONING AVE STE 234
Mailing Address - Street 2:
Mailing Address - City:YOUNGSTOWN
Mailing Address - State:OH
Mailing Address - Zip Code:44515-2225
Mailing Address - Country:US
Mailing Address - Phone:330-792-2854
Mailing Address - Fax:
Practice Address - Street 1:6000 MAHONING AVE STE 234
Practice Address - Street 2:
Practice Address - City:YOUNGSTOWN
Practice Address - State:OH
Practice Address - Zip Code:44515-2225
Practice Address - Country:US
Practice Address - Phone:330-792-2854
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:Yes
Parent Organization LBN:GATEWAYS TO BETTER LIVING INC.
Parent Organization TIN:<UNAVAIL>
Enumeration Date:2020-10-08
Last Update Date:2020-10-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes320600000XResidential Treatment FacilitiesResidential Treatment Facility, Intellectual and/or Developmental Disabilities
Provider Identifiers
StateIdentifier IDID TypeIssuer
OH2016320Medicaid