MEDICARE: GATEWAY HOSPICE 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	251G00000X	Community Based Hospice Care Agency	H0148	MO

Other Identifiers

#	Provider Identifier	Provider Identifier Type	Provider Identifier State	Provider Identifier Issuer
1	MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program

General Provider Information

NPI Number	:	1760493266
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	GATEWAY HOSPICE CARE, LLC

Provider Business Mailing Address
First Line	:	800 STATE HIGHWAY 248
Second Line	:	SUITE D
City	:	BRANSON
State	:	MO
Zip	:	65616-3721
Country	:	US
Telephone Number	:	417-332-3510
Fax Number	:	417-332-3512

Provider Business Practice Location Address
First Line	:	800 STATE HIGHWAY 248
Second Line	:	SUITE D
City	:	BRANSON
State	:	MO
Zip	:	65616-3721
Country	:	US
Telephone Number	:	417-332-3510
Fax Number	:	417-332-3512

Authorized Official
Title or Position	:	ADMINISTRATOR/OWNER
Name	:	MELANIE F MARKHAM
Credential	:	RN
Telephone Number	:	417-332-3510

Provider Enumeration Date	:	08/10/2006
Last Update Date	:	06/18/2009

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