Provider Demographics
NPI:1336184092
Name:GATEWAY PROPERTIES, INC.
Entity type:Organization
Organization Name:GATEWAY PROPERTIES, INC.
Other - Org Name:<UNAVAIL>
Other - Org Type:
Authorized Official - Title/Position:VP OF FINANCE
Authorized Official - Prefix:
Authorized Official - First Name:JASON
Authorized Official - Middle Name:DEAN
Authorized Official - Last Name:HAMISCH
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:402-753-6101
Mailing Address - Street 1:225 N 56TH ST
Mailing Address - Street 2:
Mailing Address - City:LINCOLN
Mailing Address - State:NE
Mailing Address - Zip Code:68504-3519
Mailing Address - Country:US
Mailing Address - Phone:402-464-6371
Mailing Address - Fax:402-467-0299
Practice Address - Street 1:225 N 56TH ST
Practice Address - Street 2:
Practice Address - City:LINCOLN
Practice Address - State:NE
Practice Address - Zip Code:68504-3519
Practice Address - Country:US
Practice Address - Phone:402-464-6371
Practice Address - Fax:402-467-0299
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2006-06-18
Last Update Date:2021-03-29
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NEALF064310400000X
NE504004314000000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes314000000XNursing & Custodial Care FacilitiesSkilled Nursing Facility
No310400000XNursing & Custodial Care FacilitiesAssisted Living Facility
Provider Identifiers
StateIdentifier IDID TypeIssuer
NE100250486-00Medicaid
NE285266Medicare PIN