Organization Active NPI

Gates Health Care, Inc.

  • Adult Care Home Facility
  • Conover, NC
National Provider Identifier
1699895623
Registry record updated Aug 22, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Adult Care Home FacilityTaxonomy code 311ZA0620X
License
HAL-018-005 Issued in NC
Legal business name
GATES HEALTH CARE, INC.
Practice address
807 4TH St SW
Conover, NC 28613-2638
Phone
(828) 464-3715
NPI assigned
Mar 31, 2007
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 22, 2020

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

Authorized official

Name
Michael Gates
Title
Owner
Phone
(828) 464-3715

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Adult Care Home Facility 311ZA0620X HAL-018-005 NC Primary

Addresses

Primary practice location

807 4TH St SW
Conover, NC 28613-2638

Mailing address

PO Box 822
Conover, NC 28613-0822

Other identifiers 1

IdentifierTypeStateIssuer
7802140MedicaidNC

National Provider Directory

National Provider Directory
Tax ID family
Gates Health Care Inc2 organizations share this tax ID, including this one

Other organizations with this tax ID 1

Organizations that report the same tax identification number in the National Provider Directory.

Locations

807 4th St SW
Conover, NC 28613
Phone (828) 464-3715

NPI Registry JSON

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

{
    "created_epoch": "1175299200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1699895623",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 822",
            "city": "CONOVER",
            "state": "NC",
            "postal_code": "286130822"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "807 4TH ST SW",
            "city": "CONOVER",
            "state": "NC",
            "postal_code": "286132638",
            "telephone_number": "828-464-3715"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "GATES HEALTH CARE, INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-03-31",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "GATES",
        "authorized_official_first_name": "MICHAEL",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "828-464-3715"
    },
    "taxonomies": [
        {
            "code": "311ZA0620X",
            "taxonomy_group": "",
            "desc": "Custodial Care Facility, Adult Care Home",
            "state": "NC",
            "license": "HAL-018-005",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "7802140",
            "state": "NC"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Conover, NC

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 22, 2020; 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.