NPIMap

Organization Active NPI

Gate Way Health Care Associates LLC

  • Community/Behavioral Health Agency
  • Maxton, NC
National Provider Identifier
1093974396
Registry record updated Jun 3, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
Community/Behavioral Health AgencyTaxonomy code 251S00000X
Legal business name
GATE WAY HEALTH CARE ASSOCIATES LLC
Practice address
612 E Dr Martin Luther King Jr Dr
Maxton, NC 28364-1800
Phone
(910) 844-2693
Fax
(910) 844-2694
NPI assigned
Jun 3, 2008
Last updated
Jun 3, 2008By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jun 3, 2008

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

Authorized official

Name
Ms. Ealise Hunt, BSW
Title
Ceo
Phone
(910) 844-2693

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Community/Behavioral Health Agency 251S00000X Primary

Addresses

Primary practice location

612 E Dr Martin Luther King Jr Dr
Maxton, NC 28364-1800

Mailing address

612 Martin Luther King Dr
Maxton, NC 28364-0355
Phone (910) 844-2693

National Provider Directory

National Provider Directory
Tax ID family
Gate Way Health Care Associates LLC5 organizations share this tax ID, including this one

Other organizations with this tax ID 4

Organizations that report the same tax identification number in the National Provider Directory.

NPI Registry JSON

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

{
    "created_epoch": "1212451200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1212451200000",
    "number": "1093974396",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "612 MARTIN LUTHER KING DR",
            "city": "MAXTON",
            "state": "NC",
            "postal_code": "283640355",
            "telephone_number": "910-844-2693",
            "fax_number": "910-844-2694"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "612 E DR MARTIN LUTHER KING JR DR",
            "city": "MAXTON",
            "state": "NC",
            "postal_code": "283641800",
            "telephone_number": "910-844-2693",
            "fax_number": "910-844-2694"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "GATE WAY HEALTH CARE ASSOCIATES LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2008-06-03",
        "last_updated": "2008-06-03",
        "status": "A",
        "authorized_official_last_name": "HUNT",
        "authorized_official_first_name": "EALISE",
        "authorized_official_title_or_position": "CEO",
        "authorized_official_telephone_number": "910-844-2693",
        "authorized_official_name_prefix": "Ms.",
        "authorized_official_credential": "BSW"
    },
    "taxonomies": [
        {
            "code": "251S00000X",
            "taxonomy_group": "",
            "desc": "Community/Behavioral Health",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Maxton, NC

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 3, 2008; 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.