Healthcare Provider Details

I. General information

NPI: 1831055516
Provider Name (Legal Business Name): GATEWAY MEDICAL SUPPLIES LLC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 12/26/2025
Last Update Date: 12/29/2025
Certification Date: 12/29/2025
Deactivation Date:
Reactivation Date:

III. Provider practice location address

2950 S JAMAICA CT STE 215
AURORA CO
80014-2685
US

IV. Provider business mailing address

2950 S JAMAICA CT STE 215
AURORA CO
80014-2685
US

V. Phone/Fax

Practice location:
  • Phone: 303-669-6795
  • Fax:
Mailing address:
  • Phone: 303-994-9509
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code332B00000X
TaxonomyDurable Medical Equipment & Medical Supplies
License Number
License Number State

VIII. Authorized Official

Name: YOSEF SEYOUM
Title or Position: OWNER/MANAGER
Credential:
Phone: 303-669-6795