Provider Demographics
NPI:1902012321
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:CHIEF OPERATING OFFICER
Authorized Official - Prefix:
Authorized Official - First Name:SYLVIA
Authorized Official - Middle Name:
Authorized Official - Last Name:KUPPLER
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:330-792-2854
Mailing Address - Street 1:6000 MAHONING AVE
Mailing Address - Street 2:SUITE 234
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:330-792-3386
Practice Address - Street 1:3220 S RACCOON RD
Practice Address - Street 2:APT 15
Practice Address - City:CANFIELD
Practice Address - State:OH
Practice Address - Zip Code:44406-9359
Practice Address - Country:US
Practice Address - Phone:330-793-5676
Practice Address - Fax:330-793-5676
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2007-05-15
Last Update Date:2020-08-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes315P00000XNursing & Custodial Care FacilitiesIntermediate Care Facility, Intellectual Disabilities
Provider Identifiers
StateIdentifier IDID TypeIssuer
OH5010320OtherLICENSE NUMBER
OH5000395Medicaid