Provider Demographics
NPI:1174856041
Name:GATEWAY HOMECARE SERVICES INC
Entity Type:Organization
Organization Name:GATEWAY HOMECARE SERVICES INC
Other - Org Name:GATEWAY HOMECARE SERVICES INC
Other - Org Type:Doing Business As
Authorized Official - Title/Position:MANAGER
Authorized Official - Prefix:MR
Authorized Official - First Name:AHMED
Authorized Official - Middle Name:BILLOW
Authorized Official - Last Name:ALI
Authorized Official - Suffix:
Authorized Official - Credentials:N/A
Authorized Official - Phone:612-871-1109
Mailing Address - Street 1:912 EAST 24TH STREET
Mailing Address - Street 2:
Mailing Address - City:MINNEAPOLIS
Mailing Address - State:MN
Mailing Address - Zip Code:55404-4329
Mailing Address - Country:US
Mailing Address - Phone:612-871-1109
Mailing Address - Fax:612-874-3206
Practice Address - Street 1:912 E 24TH ST
Practice Address - Street 2:B207
Practice Address - City:MINNEAPOLIS
Practice Address - State:MN
Practice Address - Zip Code:55404-3869
Practice Address - Country:US
Practice Address - Phone:612-871-1109
Practice Address - Fax:612-874-3206
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2009-09-10
Last Update Date:2017-03-21
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251E00000XAgenciesHome Health