Gateway Healthcare Services LLC

Primary specialty

Home Health AgencyTaxonomy code 251E00000X

License

HCO-171543 Issued in VA

Legal business name

GATEWAY HEALTHCARE SERVICES LLC

Doing business as

Gateway Healthcare Services LLC

Practice address

3022 Javier Rd
Suite # 207
Fairfax, VA 22031-4645

Phone

(703) 462-8725

Fax

(703) 462-8726

NPI assigned

Apr 27, 2017

Organization subpart

No

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

Authorized official

Name

Mr. Emmanuel Owusu

Title

Administrator

Phone

(703) 585-0531

Specialties & licenses 1

Addresses

Other names 1

• Gateway Healthcare Services LLC Doing business as

Locations

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

{
    "created_epoch": "1493251200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1493251200000",
    "number": "1215462296",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3022 JAVIER RD",
            "address_2": "SUITE # 207",
            "city": "FAIRFAX",
            "state": "VA",
            "postal_code": "220314645",
            "telephone_number": "703-462-8725"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3022 JAVIER RD",
            "address_2": "SUITE # 207",
            "city": "FAIRFAX",
            "state": "VA",
            "postal_code": "220314645",
            "telephone_number": "703-462-8725",
            "fax_number": "703-462-8726"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "GATEWAY HEALTHCARE SERVICES LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2017-04-27",
        "last_updated": "2017-04-27",
        "status": "A",
        "authorized_official_last_name": "OWUSU",
        "authorized_official_first_name": "EMMANUEL",
        "authorized_official_title_or_position": "ADMINISTRATOR",
        "authorized_official_telephone_number": "703-585-0531",
        "authorized_official_name_prefix": "Mr."
    },
    "taxonomies": [
        {
            "code": "251E00000X",
            "taxonomy_group": "",
            "desc": "Home Health",
            "state": "VA",
            "license": "HCO-171543",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Gateway Healthcare Services LLC",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

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• Sylvie C Gatcham Tieuzu'U
• Robert Edward Gatens, DDS
• Lindsay Gaudet
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• Patrick David Gaul III
• Katarrinna Gause
• Deborah Ann Gavaghan, RPH

• Home Health Agency in Fairfax, VA
• Providers in Fairfax, VA by specialty
• Home Health Agency in Virginia

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 27, 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.