Provider Demographics
NPI:1912958976
Name:GATEWAY HOME HEALTH CARE INC.
Entity Type:Organization
Organization Name:GATEWAY HOME HEALTH CARE INC.
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PRESIDENT
Authorized Official - Prefix:
Authorized Official - First Name:HENRY
Authorized Official - Middle Name:M
Authorized Official - Last Name:KATRA
Authorized Official - Suffix:
Authorized Official - Credentials:PHARMACIST
Authorized Official - Phone:610-933-0584
Mailing Address - Street 1:165 NUTT RD
Mailing Address - Street 2:
Mailing Address - City:PHOENIXVILLE
Mailing Address - State:PA
Mailing Address - Zip Code:19460-3905
Mailing Address - Country:US
Mailing Address - Phone:610-933-0584
Mailing Address - Fax:610-983-0397
Practice Address - Street 1:165 NUTT RD
Practice Address - Street 2:
Practice Address - City:PHOENIXVILLE
Practice Address - State:PA
Practice Address - Zip Code:19460-3905
Practice Address - Country:US
Practice Address - Phone:610-933-0584
Practice Address - Fax:610-983-0397
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2006-05-15
Last Update Date:2010-02-26
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
PA1000002539332B00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes332B00000XSuppliersDurable Medical Equipment & Medical Supplies
Provider Identifiers
StateIdentifier IDID TypeIssuer
PA1000002539OtherDRUG&DEVICE REGISTRATION
PAPA15959OtherBEDDING&UPHOLSTERY PERMIT
PA0137200001Medicare NSC