Provider Demographics
NPI:1932934155
Name:GATEWAY HOSPICE GROUP LLC
Entity type:Organization
Organization Name:GATEWAY HOSPICE GROUP LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:
Authorized Official - First Name:VALDEMAR
Authorized Official - Middle Name:
Authorized Official - Last Name:PEREZ
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:956-382-5889
Mailing Address - Street 1:PO BOX 451269
Mailing Address - Street 2:
Mailing Address - City:LAREDO
Mailing Address - State:TX
Mailing Address - Zip Code:78045-0075
Mailing Address - Country:US
Mailing Address - Phone:956-382-5889
Mailing Address - Fax:956-382-5988
Practice Address - Street 1:315 CALLE DEL NORTE STE 205
Practice Address - Street 2:
Practice Address - City:LAREDO
Practice Address - State:TX
Practice Address - Zip Code:78041-5961
Practice Address - Country:US
Practice Address - Phone:956-382-5889
Practice Address - Fax:956-382-5988
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2024-09-06
Last Update Date:2024-09-16
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251G00000XAgenciesHospice Care, Community Based
No251E00000XAgenciesHome Health