Organization Active NPI

Gateway Health Care Centres Limited PTR

  • Skilled Nursing Facility
  • Euclid, OH
National Provider Identifier
1023014271
Registry record updated Mar 14, 2012
On this page

Key facts

NPPES NPI Registry
Primary specialty
Skilled Nursing FacilityTaxonomy code 314000000X
License
5082 Issued in OH
Legal business name
GATEWAY HEALTH CARE CENTRES LIMITED PTR
Practice address
3 Gateway Drive
Euclid, OH 44119-2447
Phone
(216) 486-4949
Fax
(216) 481-5155
NPI assigned
Jun 22, 2005
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Mar 14, 2012

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name
Mrs. Beth Decapite
Title
Managing Member
Phone
(216) 486-4949

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Skilled Nursing Facility 314000000X 5082 OH Primary

Addresses

Primary practice location

3 Gateway Drive
Euclid, OH 44119-2447

Mailing address

23530 Saint Clair Ave
Euclid, OH 44117-2513
Phone (216) 486-4949

Other identifiers 1

IdentifierTypeStateIssuer
0760145MedicaidOH

Other names 1

  • Gateway Health Care Center Doing business as

National Provider Directory

National Provider Directory

Locations

23530 Saint Clair Ave
Euclid, OH 44117

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1119398400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1331683200000",
    "number": "1023014271",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "23530 SAINT CLAIR AVE",
            "city": "EUCLID",
            "state": "OH",
            "postal_code": "441172513",
            "telephone_number": "216-486-4949",
            "fax_number": "216-481-5155"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3 GATEWAY DRIVE",
            "city": "EUCLID",
            "state": "OH",
            "postal_code": "441192447",
            "telephone_number": "216-486-4949",
            "fax_number": "216-481-5155"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "GATEWAY HEALTH CARE CENTRES LIMITED PTR",
        "organizational_subpart": "NO",
        "enumeration_date": "2005-06-22",
        "last_updated": "2012-03-14",
        "status": "A",
        "authorized_official_last_name": "DECAPITE",
        "authorized_official_first_name": "BETH",
        "authorized_official_title_or_position": "MANAGING MEMBER",
        "authorized_official_telephone_number": "216-486-4949",
        "authorized_official_name_prefix": "Mrs."
    },
    "taxonomies": [
        {
            "code": "314000000X",
            "taxonomy_group": "",
            "desc": "Skilled Nursing Facility",
            "state": "OH",
            "license": "5082",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "0760145",
            "state": "OH"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Gateway Health Care Center",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Euclid, OH

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 14, 2012; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.