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GATEWAY QUALITY HOME CARE LLC NPI 1568850378


NPI Information

NPI: 1568850378
Provider Name: GATEWAY QUALITY HOME CARE LLC

Doing Business As: ASSISTED DAILY LIVING

Classification: Clinical Medical Laboratory - 291U00000X
Entity Type: Organization

CLIA Number: 26D2254172

Address:
1360 S 5TH ST STE 356C
SAINT CHARLES, MO
ZIP 63301
Phone: (636) 206-7777
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GATEWAY QUALITY HOME CARE LLC is a clinical medical laboratory in Saint Charles, MO. The provider is (1) A clinical laboratory is a facility for the biological, microbiological, serological, chemical, immunohematological, hematological, biophysical, cytological, pathological, or other examination of materials derived from the human body for the purpose of providing information for the diagnosis, prevention, or treatment of any disease or impairment of, human beings. These examinations also include procedures to determine, measure, or otherwise describe the presence or absence of various substances or organisms in the body. Facilities only collecting or preparing specimens (or both) or only serving as a mailing service and not performing testing are not considered clinical laboratories. (2) Any facility that examines materials from the human body for purposes of providing information for the diagnosis, prevention, or treatment of any disease or impairment of, or the assessment of, the health of human beings. Typical divisions of a clinical laboratory include hematology, cytology, bacteriology, histology, biochemistry, medical toxicology, and serology. GATEWAY QUALITY HOME CARE LLC NPI is 1568850378. The provider is registered as an organization entity type.
The provider Is Doing Business As Assisted Daily Living.

The provider's business location address is:

1360 S 5TH ST STE 356C
SAINT CHARLES, MO
ZIP 63301-449
Phone: (636) 206-7777
Fax: (636) 724-4304

The provider's authorized official is Charay L Brown .
The authorized official title is President and has the following contact phone number (844) 273-2700.

The CLIA number assigned to this NPI record is 26D2254172 - mobile laboratory with a certificate type of Certificate of Waiver.

The enumeration date for this NPI number is 12/31/2014 and was last updated on 11/11/2022.


Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No. Taxonomy Code Taxonomy Clasification Taxonomy Specialization License Number License State Primary
1251E00000XHome HealthLC9758094MISSOURINo
2251F00000XHome InfusionNo
3253Z00000XIn Home Supportive CareNo
4332B00000XDurable Medical Equipment & Medical SuppliesNo
5343900000XNon-emergency Medical Transport (VAN)No
6347C00000XPrivate VehicleNo
7347E00000XTransportation BrokerNo
8385H00000XRespite CareNo
9291U00000XClinical Medical LaboratoryYes

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No. Other Provider Identifier Other Provider Identifier Type Other Provider Identifier State Other Provider Identifier Issuer
126D2254172OTHERMISSOURICLIA
2700116807MEDICAIDMISSOURI

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 5/5/2024

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