MEDICARE: GATEWAY HEALTH & REHAB, 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	314000000X	Skilled Nursing Facility	1-154-1805	GA

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	:	1851392773
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	GATEWAY HEALTH & REHAB, LLC

Provider Business Mailing Address
First Line	:	3201 WESTMORELAND RD
Second Line	:
City	:	CLEVELAND
State	:	GA
Zip	:	30528-5851
Country	:	US
Telephone Number	:	706-865-5686
Fax Number	:	706-865-6929

Provider Business Practice Location Address
First Line	:	3201 WESTMORELAND RD
Second Line	:
City	:	CLEVELAND
State	:	GA
Zip	:	30528-5851
Country	:	US
Telephone Number	:	706-865-5686
Fax Number	:	706-865-6929

Authorized Official
Title or Position	:	MANAGING MEMBER
Name	:	MR. ANDREW JACKSON MORRIS III
Credential	:
Telephone Number	:	706-378-0940

Provider Enumeration Date	:	08/02/2005
Last Update Date	:	08/22/2020

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Directions to “GATEWAY HEALTH & REHAB, LLC ” Practice Location

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