MEDICARE: GATEWAY SOLUTION HOME CARE LLC

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	251E00000X	Home Health Agency

General Provider Information

NPI Number	:	1639854672
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	GATEWAY SOLUTION HOME CARE LLC

Provider Business Mailing Address
First Line	:	4798 SEA OATS CIR APT 202
Second Line	:
City	:	WEST PALM BEACH
State	:	FL
Zip	:	33417-7512
Country	:	US
Telephone Number	:	561-421-0975
Fax Number	:

Provider Business Practice Location Address
First Line	:	4798 SEA OATS CIR APT 202
Second Line	:
City	:	WEST PALM BEACH
State	:	FL
Zip	:	33417-7512
Country	:	US
Telephone Number	:	561-421-0975
Fax Number	:

Authorized Official
Title or Position	:	CEO
Name	:	BEATRICE DOMOND
Credential	:
Telephone Number	:	561-421-0975

Provider Enumeration Date	:	06/19/2023
Last Update Date	:	06/19/2023

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