MDH Gateway, LLC

Primary specialty

Home Health AgencyTaxonomy code 251E00000X

Legal business name

MDH GATEWAY, LLC

Practice address

11111 Richmond Ave
Suite 108
Houston, TX 77082-6665

Phone

(832) 770-9234

Fax

(832) 486-9851

NPI assigned

Jul 27, 2016

Organization subpart

No

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

Authorized official

Name

Mr. Thomas Xia Chen

Title

Business Owner

Phone

(832) 770-9234

Specialties & licenses 1

Addresses

Other identifiers 1

Other names 1

• Loved Ones Doing business as

Locations

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

{
    "created_epoch": "1469577600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1487808000000",
    "number": "1104379007",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "12735 SKYKNOLL LN",
            "city": "HOUSTON",
            "state": "TX",
            "postal_code": "770825329",
            "telephone_number": "832-770-9234",
            "fax_number": "832-486-9851"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "11111 RICHMOND AVE",
            "address_2": "SUITE 108",
            "city": "HOUSTON",
            "state": "TX",
            "postal_code": "770826665",
            "telephone_number": "832-770-9234",
            "fax_number": "832-486-9851"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MDH GATEWAY, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2016-07-27",
        "last_updated": "2017-02-23",
        "status": "A",
        "authorized_official_last_name": "CHEN",
        "authorized_official_first_name": "THOMAS",
        "authorized_official_middle_name": "XIA",
        "authorized_official_title_or_position": "BUSINESS OWNER",
        "authorized_official_telephone_number": "832-770-9234",
        "authorized_official_name_prefix": "Mr."
    },
    "taxonomies": [
        {
            "code": "251E00000X",
            "taxonomy_group": "",
            "desc": "Home Health",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "3653651",
            "state": "TX"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Loved Ones",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

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• Home Health Agency in Houston, TX
• Providers in Houston, TX by specialty
• Home Health Agency in Texas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 23, 2017; 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.