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Organization
LIFEGATE HEALTHCARE SERVICES, INC.
Active
Organization
LIFEGATE HEALTHCARE SERVICES, INC.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MRS. NGOZI STEPHENNIE CHUKWUKELU LVN (ADMINISTRATOR)
(469) 554-5482
Entity
Organization
Contact information
Practice address
310 EAST INTERSTATE 30 STE B105, GARLAND, TX 75043
(469) 554-5482
(972) 772-4725
Mailing address
310 EAST 1-30 STE B105, GARLAND, TX 75043
(469) 554-5482
(972) 772-4725
Taxonomy
Speciality
Code
Description
License number
State
163WH0200X
Home Health Registered Nurse
—
—
251E00000X
Home Health Agency
Primary
008064
TX
251J00000X
Nursing Care Agency
—
—
372500000X
Chore Provider
—
—
372600000X
Adult Companion
—
—
3747A0650X
Attendant Care Provider
—
—
3747P1801X
Personal Care Attendant
—
—
374U00000X
Home Health Aide
—
—
376J00000X
Homemaker
—
—
385H00000X
Respite Care
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1635716-01
—
TX
01
—
67-9279
MEDICARE
—
Enumeration date
07/10/2007
Last updated
07/23/2025
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