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General NPI Number Information
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NPI Number | 1619911484
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Entity Type | Organization
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Legal Business Name | GATEWAY HEALTHCARE SERVICES INC.
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Dates
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Enumeration Date | 06/15/2006
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Last Update Date | 09/18/2014
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Provider Practice Location Address
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Address Line | 6776 SOUTHWEST FWY SUITE 620
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City | HOUSTON
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State | TX
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Zip | 77074-2107
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Country | US
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Telephone | 713-218-7999
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Fax | 713-218-7950
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Provider Business Mailing Address
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Address Line | 6776 SOUTHWEST FWY SUITE 620
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City | HOUSTON
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State | TX
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Zip | 77074-2107
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Country | US
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Telephone | 713-217-7999
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Fax | 713-218-7950
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Authorized Official
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Title or Position | ADMINISTRATOR
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Name | MRS. FIDELIA NDAMATI
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Credential | LVN
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Telephone | 713-218-7999
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 251E00000X
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Taxonomy Name | Home Health Agency
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License Number | 009932
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License Number State | TX
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