Gateway Care Center LLC

Primary specialty

Skilled Nursing FacilityTaxonomy code 314000000X

Legal business name

GATEWAY CARE CENTER LLC

Practice address

111 Barstow Ave
Clovis, CA 93612-2225

Phone

(559) 554-2047

NPI assigned

Mar 16, 2021

Organization subpart

No

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

Authorized official

Name

Ken Evans

Title

Administrator

Phone

(559) 299-2591

Specialties & licenses 1

Addresses

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

{
    "created_epoch": "1615852800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1627344000000",
    "number": "1548845928",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "111 BARSTOW AVE",
            "city": "CLOVIS",
            "state": "CA",
            "postal_code": "936122225"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "111 BARSTOW AVE",
            "city": "CLOVIS",
            "state": "CA",
            "postal_code": "936122225",
            "telephone_number": "559-554-2047"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "GATEWAY CARE CENTER LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2021-03-16",
        "last_updated": "2021-07-27",
        "certification_date": "2021-07-27",
        "status": "A",
        "authorized_official_last_name": "EVANS",
        "authorized_official_first_name": "KEN",
        "authorized_official_title_or_position": "ADMINISTRATOR",
        "authorized_official_telephone_number": "559-299-2591"
    },
    "taxonomies": [
        {
            "code": "314000000X",
            "taxonomy_group": "",
            "desc": "Skilled Nursing Facility",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Georgina Marie Garza, LPCC 5917
• Hilda Jeanette Garza, RDA
• Diana Gasparyan, CFY-SLP
• Melissa R Gaston
• Aphrodite Josephine Gates I
• Gateway High Schol
• Lance Gator Gault, D.O.
• Samuel A Gebretsadik
• Richard J Geller, MD
• Genesis Rehab Services

• Skilled Nursing Facility in Clovis, CA
• Providers in Clovis, CA by specialty
• Skilled Nursing Facility in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 27, 2021; 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.