MEDICARE: GATEWAY HEALTH SERVICES 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

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	:	1952075913
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	GATEWAY HEALTH SERVICES LLC

Provider Business Mailing Address
First Line	:	3800 LAKE CENTER DR
Second Line	:
City	:	MOUNT DORA
State	:	FL
Zip	:	32757-2208
Country	:	US
Telephone Number	:	407-937-9308
Fax Number	:	352-251-1990

Provider Business Practice Location Address
First Line	:	3800 LAKE CENTER DR
Second Line	:
City	:	MOUNT DORA
State	:	FL
Zip	:	32757-2208
Country	:	US
Telephone Number	:	407-937-9308
Fax Number	:

Authorized Official
Title or Position	:	DIRECTOR OF NURSING
Name	:	SIMONE MARIA LOWMAN
Credential	:
Telephone Number	:	407-937-9308

Provider Enumeration Date	:	08/03/2021
Last Update Date	:	06/02/2025

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Directions to “GATEWAY HEALTH SERVICES LLC ” Practice Location

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