Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
NPIDirectory

Gateway Residential Programs Fair Oaks House

Organization Mental Illness Community Based Residential Treatment Facility · NPI 1295351039

Gateway Residential Programs Fair Oaks House is a Mental Illness Community Based Residential Treatment Facility in Fair Oaks, California. Registered with an NPI since 2020.

In the registry since
2020
Specialties on file
2
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Practice location Address checks out

11990 Fair Oaks Blvd
Fair Oaks, CA 95628-2770
Phone: (916) 967-1401
Fax: (916) 782-4544
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Emotionally Disturbed Childrens' Residential Treatment Facility (primary) Taxonomy 322D00000X
Mental Illness Community Based Residential Treatment Facility Taxonomy 320800000X

Record details

NPI number1295351039
Entity typeOrganization (Type 2)
Organization subpartYes
Parent organizationGateway Residential Programs
Authorized official Jeff Beesley — Executive Director · (916) 782-1111
NPI enumeratedJune 17, 2020
Last updated in NPPESSeptember 7, 2022
Certification dateSeptember 7, 2022
Mailing address1780 Vernon St Ste 1, Roseville, CA 95678-6311

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