Active NPI
Gideon'S Gate Managment and Technical Services
- Case Manager/Care Coordinator
- Indianapolis, IN
National Provider Identifier
1114111788
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Case Manager/Care Coordinator
- 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
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) | Code | License | State | Primary |
|---|---|---|---|---|
| Pastoral Counselor | 101YP1600X | IN | ||
| Psychologist | 103T00000X | 20040411A | IN | |
| Case Manager/Care Coordinator | 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 Aide | 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
National Provider Directory
National Provider DirectoryPractitioners & affiliated clinicians
Practitioners 1
Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.
-
- Psychologist
- Indianapolis, IN
- NPI 1942491832
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.