Provider Demographics
NPI:1902362072
Name:GATEWAY HEALTHCARE SYSTEMS LLC
Entity Type:Organization
Organization Name:GATEWAY HEALTHCARE SYSTEMS LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:CEO
Authorized Official - Prefix:MR
Authorized Official - First Name:BABAYEMI
Authorized Official - Middle Name:
Authorized Official - Last Name:ORIMOGUNJE
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:404-261-0001
Mailing Address - Street 1:990 LAKES PKWY
Mailing Address - Street 2:
Mailing Address - City:LAWRENCEVILLE
Mailing Address - State:GA
Mailing Address - Zip Code:30043-8904
Mailing Address - Country:US
Mailing Address - Phone:470-261-0001
Mailing Address - Fax:
Practice Address - Street 1:990 LAKES PKWY
Practice Address - Street 2:
Practice Address - City:LAWRENCEVILLE
Practice Address - State:GA
Practice Address - Zip Code:30043-8904
Practice Address - Country:US
Practice Address - Phone:470-261-0001
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2019-02-13
Last Update Date:2019-02-13
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251E00000XAgenciesHome Health