Provider Demographics
NPI:1639854672
Name:GATEWAY SOLUTION HOME CARE LLC
Entity Type:Organization
Organization Name:GATEWAY SOLUTION HOME CARE LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:CEO
Authorized Official - Prefix:
Authorized Official - First Name:BEATRICE
Authorized Official - Middle Name:
Authorized Official - Last Name:DOMOND
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:561-421-0975
Mailing Address - Street 1:4798 SEA OATS CIR APT 202
Mailing Address - Street 2:
Mailing Address - City:WEST PALM BEACH
Mailing Address - State:FL
Mailing Address - Zip Code:33417-7512
Mailing Address - Country:US
Mailing Address - Phone:561-421-0975
Mailing Address - Fax:
Practice Address - Street 1:4798 SEA OATS CIR APT 202
Practice Address - Street 2:
Practice Address - City:WEST PALM BEACH
Practice Address - State:FL
Practice Address - Zip Code:33417-7512
Practice Address - Country:US
Practice Address - Phone:561-421-0975
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2023-06-19
Last Update Date:2023-06-19
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251E00000XAgenciesHome Health