Provider Demographics
NPI:1740887371
Name:WEST GATE HOME SERVICES, LLC
Entity type:Organization
Organization Name:WEST GATE HOME SERVICES, LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:MANAGING MEMBER
Authorized Official - Prefix:
Authorized Official - First Name:CHRISTOPHER
Authorized Official - Middle Name:
Authorized Official - Last Name:HEGELE
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:440-695-3567
Mailing Address - Street 1:715 LAKE TRL
Mailing Address - Street 2:
Mailing Address - City:AURORA
Mailing Address - State:OH
Mailing Address - Zip Code:44202-8478
Mailing Address - Country:US
Mailing Address - Phone:330-732-7075
Mailing Address - Fax:
Practice Address - Street 1:1991 CROCKER RD STE 600
Practice Address - Street 2:
Practice Address - City:WESTLAKE
Practice Address - State:OH
Practice Address - Zip Code:44145-6976
Practice Address - Country:US
Practice Address - Phone:440-695-3567
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2020-10-06
Last Update Date:2020-10-06
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes253Z00000XAgenciesIn Home Supportive Care