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NPI Code Detail

MEDICARE: GATEWAY HEALTH CARE CENTRE, LLC

MEDICARE: GATEWAY HEALTH CARE CENTRE, 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
1314000000XSkilled Nursing Facility1890NOH

General Provider Information

NPI Number : 1881092591
Entity Type Code : Organization
Provider Name (Legal Business Name) : GATEWAY HEALTH CARE CENTRE, LLC
Provider Business Mailing Address
First Line : 29225 CHAGRIN BLVD
Second Line : SUITE 230
City : CLEVELAND
State : OH
Zip : 44122-4645
Country : US
Telephone Number : 440-658-1040
Fax Number : 866-629-9730
Provider Business Practice Location Address
First Line : 3 GATEWAY
Second Line :
City : EUCLID
State : OH
Zip : 44119-2447
Country : US
Telephone Number : 216-481-4949
Fax Number : 216-481-5155
Authorized Official
Title or Position : MANAGING MEMBER
Name : ELI M GUNZBURG
Credential : MBA, LNHA
Telephone Number : 440-658-1040
Provider Enumeration Date : 12/11/2014
Last Update Date : 12/11/2014

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Directions to “GATEWAY HEALTH CARE CENTRE, LLC ” Practice Location

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