Organization Active NPI

Gateway Home Care

  • In Home Supportive Care Agency
  • Charlotte, NC
National Provider Identifier
1831915495
Registry record updated Nov 28, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
In Home Supportive Care AgencyTaxonomy code 253Z00000X
Legal business name
GATEWAY HOME CARE
Practice address
9832 Bradstreet Commons Way
Charlotte, NC 28215-7372
Phone
(216) 315-6432
NPI assigned
Nov 28, 2024
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Nov 28, 2024

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

Authorized official

Name
Kuna Sikod Jackson
Title
Agency Director
Phone
(216) 315-6432

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
In Home Supportive Care Agency 253Z00000X Primary

Addresses

Primary practice location

9832 Bradstreet Commons Way
Charlotte, NC 28215-7372

Mailing address

9832 Bradstreet Commons Way
Charlotte, NC 28215-7372

National Provider Directory

National Provider Directory

NPI Registry JSON

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

{
    "created_epoch": "1732752000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1732752000000",
    "number": "1831915495",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "9832 BRADSTREET COMMONS WAY",
            "city": "CHARLOTTE",
            "state": "NC",
            "postal_code": "282157372"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "9832 BRADSTREET COMMONS WAY",
            "city": "CHARLOTTE",
            "state": "NC",
            "postal_code": "282157372",
            "telephone_number": "216-315-6432"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "GATEWAY HOME CARE",
        "organizational_subpart": "NO",
        "enumeration_date": "2024-11-28",
        "last_updated": "2024-11-28",
        "certification_date": "2024-11-28",
        "status": "A",
        "authorized_official_last_name": "SIKOD JACKSON",
        "authorized_official_first_name": "KUNA",
        "authorized_official_title_or_position": "AGENCY DIRECTOR",
        "authorized_official_telephone_number": "216-315-6432"
    },
    "taxonomies": [
        {
            "code": "253Z00000X",
            "taxonomy_group": "",
            "desc": "In Home Supportive Care",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Charlotte, NC

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 28, 2024; 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.