# GATEWAY CARE CENTER, LLC

> Is this information incorrect? This page shows public data from NPPES. Update your record in NPPES and this page will update automatically within 7 days. [Update your NPPES record](https://nppes.cms.hhs.gov)

- **Entity:** Organization
- **Status:** Active
- **Organization subpart:** No

## Provider details

- **NPI number:** 1699769323
- **Authorized official:** MS. BARBARA DARLINGTON (ADMINISTRATOR)
- **Authorized official phone:** (732) 542-4700

## Contact information

- **Practice address:** 139 GRANT AVE, EATONTOWN, NJ 07724-1306
- **Practice address phone:** (732) 542-4700
- **Practice address fax:** (732) 542-4747
- **Mailing address:** 139 GRANT AVE, EATONTOWN, NJ 07724-1306
- **Mailing address phone:** (732) 542-4700
- **Mailing address fax:** (732) 542-4747

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 314000000X | Skilled Nursing Facility | 061305 | NJ | Yes |

## Other

- **Enumeration date:** 09/08/2005
- **Last updated:** 09/19/2012

## Other identifiers

| Code | Description | Identifier | Issuer | State |
| --- | --- | --- | --- | --- |
| 01 | — | 009565 | EMPIRE PROVIDER NUMBER | NJ |
| 01 | — | 3124459 | AETNA PROVIDER NUMBER | NJ |
| 05 | — | 4489900 | — | NJ |
| 01 | — | A546100 | OXFORD PROVIDER NUMBER | NJ |
| 01 | — | IL9946 | PHS/HEALTHNET PROVIDER NU | NJ |
