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NPI Code Detail

MEDICARE: GATEWAY UNIFIED CARE

MEDICARE: GATEWAY UNIFIED CARE
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
1320900000XIntellectual and/or Developmental Disabilities Community Based Residential Treatment Facility

General Provider Information

NPI Number : 1780530683
Entity Type Code : Organization
Provider Name (Legal Business Name) : GATEWAY UNIFIED CARE
Provider Business Mailing Address
First Line : 2122 KRATKY RD STE 200
Second Line :
City : SAINT LOUIS
State : MO
Zip : 63114-1706
Country : US
Telephone Number : 443-838-6184
Fax Number :
Provider Business Practice Location Address
First Line : 2122 KRATKY RD STE 200
Second Line :
City : SAINT LOUIS
State : MO
Zip : 63114-1706
Country : US
Telephone Number : 443-838-6184
Fax Number :
Authorized Official
Title or Position : HOME HEALTH DIRECTOR
Name : LUANN LEIGHTON
Credential :
Telephone Number : 443-838-6184
Provider Enumeration Date : 03/05/2026
Last Update Date : 03/05/2026

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Directions to “GATEWAY UNIFIED CARE ” Practice Location

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These directions are for planning purposes only. You may find that construction projects, traffic, or other events may cause road conditions to differ from the map results.

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