Organization
GATEWAY QUALITY HOME CARE LLC
Active
Parent organization
GATEWAY QUALITY HOME CARE LLC
Other names
Assisted Daily Living
Organization subpart
Yes
Provider details
NPI number
Legal business name
GATEWAY QUALITY HOME CARE LLC
Authorized official
CHARAY L BROWN (PRESIDENT)
(844) 273-2700
Entity
Organization
Contact information
Practice address
1360 S 5TH ST STE 356C, SAINT CHARLES, MO 63301-2449
(636) 206-7777
(636) 724-4304
Mailing address
1360 S 5TH ST STE 356C, SAINT CHARLES, MO 63301-2449
(636) 206-7777
(636) 724-4304
Taxonomy
Speciality
Code
Description
License number
State
251E00000X
Home Health Agency
LC9758094
MO
251F00000X
Home Infusion Agency
—
—
253Z00000X
In Home Supportive Care Agency
—
—
291U00000X
Clinical Medical Laboratory
Primary
—
—
332B00000X
Durable Medical Equipment & Medical Supplies
—
—
343900000X
Non-emergency Medical Transport (VAN)
—
—
347C00000X
Private Vehicle
—
—
347E00000X
Transportation Broker
—
—
385H00000X
Respite Care
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
26D2254172
CLIA
MO
05
—
700116807
—
MO
Enumeration date
12/31/2014
Last updated
11/11/2022
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