Provider Demographics
NPI:1356307623
Name:GATEWAY TO A CURE
Entity Type:Organization
Organization Name:GATEWAY TO A CURE
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:DIRECTOR
Authorized Official - Prefix:
Authorized Official - First Name:CARL
Authorized Official - Middle Name:L
Authorized Official - Last Name:SENGHEISER
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:314-544-2410
Mailing Address - Street 1:152 LEMAY FERRY RD
Mailing Address - Street 2:SUITE 203
Mailing Address - City:SAINT LOUIS
Mailing Address - State:MO
Mailing Address - Zip Code:63125-1253
Mailing Address - Country:US
Mailing Address - Phone:800-722-2873
Mailing Address - Fax:314-544-2422
Practice Address - Street 1:152 LEMAY FERRY RD
Practice Address - Street 2:SUITE 203
Practice Address - City:SAINT LOUIS
Practice Address - State:MO
Practice Address - Zip Code:63125-1253
Practice Address - Country:US
Practice Address - Phone:800-722-2873
Practice Address - Fax:314-544-2422
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2006-04-25
Last Update Date:2022-07-21
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MO332B00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes332B00000XSuppliersDurable Medical Equipment & Medical Supplies
Provider Identifiers
StateIdentifier IDID TypeIssuer
IL=========001Medicaid
MO5483500001Medicare NSC