Provider Demographics
NPI:1619911484
Name:GATEWAY HEALTHCARE SERVICES INC.
Entity Type:Organization
Organization Name:GATEWAY HEALTHCARE SERVICES INC.
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:ADMINISTRATOR
Authorized Official - Prefix:MRS
Authorized Official - First Name:FIDELIA
Authorized Official - Middle Name:
Authorized Official - Last Name:NDAMATI
Authorized Official - Suffix:
Authorized Official - Credentials:LVN
Authorized Official - Phone:713-218-7999
Mailing Address - Street 1:6776 SOUTHWEST FWY
Mailing Address - Street 2:SUITE 620
Mailing Address - City:HOUSTON
Mailing Address - State:TX
Mailing Address - Zip Code:77074-2107
Mailing Address - Country:US
Mailing Address - Phone:713-217-7999
Mailing Address - Fax:713-218-7950
Practice Address - Street 1:6776 SOUTHWEST FWY
Practice Address - Street 2:SUITE 620
Practice Address - City:HOUSTON
Practice Address - State:TX
Practice Address - Zip Code:77074-2107
Practice Address - Country:US
Practice Address - Phone:713-218-7999
Practice Address - Fax:713-218-7950
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2006-06-15
Last Update Date:2014-09-18
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TX009932251E00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251E00000XAgenciesHome Health