Organization Active NPI

Gideon'S Gate Managment and Technical Services

  • Case Manager/Care Coordinator
  • Indianapolis, IN
National Provider Identifier
1114111788
Registry record updated Sep 6, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
Case Manager/Care CoordinatorTaxonomy code 171M00000X
Legal business name
GIDEON'S GATE MANAGMENT AND TECHNICAL SERVICES
Doing business as
Gateway Management
Practice address
546 E 17TH St
Indianapolis, IN 46202-1702
Phone
(317) 536-1225
NPI assigned
Aug 28, 2007
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Sep 6, 2007

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

Authorized official

Name
Ms. Carol Y Woodard, ELDER
Title
President/Pastor
Phone
(317) 664-1600

Specialties & licenses 8

Specialty (taxonomy)CodeLicenseStatePrimary
Pastoral CounselorGroup: 193200000X MULTI-SPECIALTY GROUP 101YP1600X IN
PsychologistGroup: 193200000X MULTI-SPECIALTY GROUP 103T00000X 20040411A IN
Case Manager/Care CoordinatorGroup: 193200000X MULTI-SPECIALTY GROUP 171M00000X Primary
Special Hospital 284300000X IN
Non-emergency Medical Transport (VAN) 343900000X 1638362 IN
Bus 347B00000X 1638362 IN
Private Vehicle 347C00000X 1638362 IN
Home Health AideGroup: 193200000X MULTI-SPECIALTY GROUP 374U00000X IN

Addresses

Primary practice location

546 E 17TH St
Indianapolis, IN 46202-1702

Mailing address

PO Box 44319
Indianapolis, IN 46244-0319
Phone (317) 536-1225

Other names 1

  • Gateway Management Doing business as

National Provider Directory

National Provider Directory

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1188259200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1189036800000",
    "number": "1114111788",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 44319",
            "city": "INDIANAPOLIS",
            "state": "IN",
            "postal_code": "462440319",
            "telephone_number": "317-536-1225"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "546 E 17TH ST",
            "city": "INDIANAPOLIS",
            "state": "IN",
            "postal_code": "462021702",
            "telephone_number": "317-536-1225"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "GIDEON'S GATE MANAGMENT AND TECHNICAL SERVICES",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-08-28",
        "last_updated": "2007-09-06",
        "status": "A",
        "authorized_official_last_name": "WOODARD",
        "authorized_official_first_name": "CAROL",
        "authorized_official_middle_name": "Y",
        "authorized_official_title_or_position": "PRESIDENT/PASTOR",
        "authorized_official_telephone_number": "317-664-1600",
        "authorized_official_name_prefix": "Ms.",
        "authorized_official_credential": "ELDER"
    },
    "taxonomies": [
        {
            "code": "101YP1600X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Counselor, Pastoral",
            "state": "IN",
            "license": null,
            "primary": false
        },
        {
            "code": "103T00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Psychologist",
            "state": "IN",
            "license": "20040411A",
            "primary": false
        },
        {
            "code": "171M00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Case Manager/Care Coordinator",
            "state": null,
            "license": null,
            "primary": true
        },
        {
            "code": "284300000X",
            "taxonomy_group": "",
            "desc": "Special Hospital",
            "state": "IN",
            "license": null,
            "primary": false
        },
        {
            "code": "343900000X",
            "taxonomy_group": "",
            "desc": "Non-emergency Medical Transport (VAN)",
            "state": "IN",
            "license": "1638362",
            "primary": false
        },
        {
            "code": "347B00000X",
            "taxonomy_group": "",
            "desc": "Bus",
            "state": "IN",
            "license": "1638362",
            "primary": false
        },
        {
            "code": "347C00000X",
            "taxonomy_group": "",
            "desc": "Private Vehicle",
            "state": "IN",
            "license": "1638362",
            "primary": false
        },
        {
            "code": "374U00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Home Health Aide",
            "state": "IN",
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Gateway Management",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Indianapolis, IN

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 6, 2007; 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.