Provider Demographics
NPI:1952075913
Name:GATEWAY HEALTH SERVICES LLC
Entity Type:Organization
Organization Name:GATEWAY HEALTH SERVICES LLC
Other - Org Name:GATEWAY HEALTH SERVICES LLC
Other - Org Type:Former Legal Business Name
Authorized Official - Title/Position:DIRECTOR OF NURSING
Authorized Official - Prefix:
Authorized Official - First Name:SIMONE
Authorized Official - Middle Name:MARIA
Authorized Official - Last Name:LOWMAN
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:407-937-9308
Mailing Address - Street 1:2250 W. OLD HWY 441
Mailing Address - Street 2:
Mailing Address - City:MOUNT DORA
Mailing Address - State:FL
Mailing Address - Zip Code:32757
Mailing Address - Country:US
Mailing Address - Phone:407-937-9308
Mailing Address - Fax:352-251-1990
Practice Address - Street 1:2250 W OLD HIGHWAY 441
Practice Address - Street 2:
Practice Address - City:MOUNT DORA
Practice Address - State:FL
Practice Address - Zip Code:32757
Practice Address - Country:US
Practice Address - Phone:407-937-9308
Practice Address - Fax:352-251-1990
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2021-08-03
Last Update Date:2024-01-25
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251E00000XAgenciesHome Health