{
"Npi": {
"NPI": "1508137944",
"EntityType": "Organization",
"ReplacementNPI": null,
"EIN": null,
"IsSoleProprietor": null,
"IsOrgSubpart": "N",
"ParentOrgLBN": null,
"ParentOrgTIN": null,
"OrgName": "GATEWAY HOME HEALTH CARE LLC",
"LastName": null,
"FirstName": null,
"MiddleName": null,
"NamePrefix": null,
"NameSuffix": null,
"Credential": null,
"OtherOrgName": null,
"OtherOrgNameTypeCode": null,
"OtherLastName": null,
"OtherFirstName": null,
"OtherMiddleName": null,
"OtherNamePrefix": null,
"OtherNameSuffix": null,
"OtherCredential": null,
"OtherLastNameTypeCode": null,
"FirstLineMailingAddress": "P.O. BOX 1053",
"SecondLineMailingAddress": null,
"MailingAddressCityName": "POTEAU",
"MailingAddressStateName": "OK",
"MailingAddressPostalCode": "74953",
"MailingAddressCountryCode": "US",
"MailingAddressTelephoneNumber": "918-649-0314",
"MailingAddressFaxNumber": "918-649-0319",
"FirstLinePracticeLocationAddress": "1007 N BROADWAY",
"SecondLinePracticeLocationAddress": null,
"PracticeLocationAddressCityName": "POTEAU",
"PracticeLocationAddressStateName": "OK",
"PracticeLocationAddressPostalCode": "74953-2609",
"PracticeLocationAddressCountryCode": "US",
"PracticeLocationAddressTelephoneNumber": "918-649-0314",
"PracticeLocationAddressFaxNumber": "918-649-0319",
"EnumerationDate": "01/17/2012",
"LastUpdateDate": "07/21/2022",
"NPIDeactivationReasonCode": null,
"NPIDeactivationReason": null,
"NPIDeactivationDate": null,
"NPIReactivationDate": null,
"GenderCode": null,
"Gender": null,
"AuthorizedOfficialLastName": "YANDELL",
"AuthorizedOfficialFirstName": "KATHERINE",
"AuthorizedOfficialMiddleName": "D",
"AuthorizedOfficialTitle": "RN/ADMIN/CO-OWNER",
"AuthorizedOfficialNamePrefix": "MRS.",
"AuthorizedOfficialNameSuffix": null,
"AuthorizedOfficialCredential": null,
"AuthorizedOfficialTelephoneNumber": "918-649-0314",
"Taxonomies": {
"Taxonomy": {
"TaxonomyCode": "251E00000X",
"TaxonomyName": "Home Health Agency",
"LicenseNumber": "7973",
"LicenseNumberStateCode": "OK",
"PrimaryTaxonomySwitch": "Y"
}
},
"HealthcareProviderTaxonomyGroups": null
}
}