GATEWAY RECOVERY CENTER LLC NPI 1295357747

NPI Information

NPI: 1295357747
Provider Name: GATEWAY RECOVERY CENTER, LLC
Classification: Clinic/Center - 261QR0405X
Entity Type: Organization

Specialization: Rehabilitation, Substance Use Disorder

CLIA Number: 24D2190522

Address:
6775 CAHILL AVE
INVER GROVE HEIGHTS, MN
ZIP 55076
Phone: (651) 698-7358
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GATEWAY RECOVERY CENTER, LLC is a rehabilitation and substance use disorder clinic center in Inver Grove Heights, MN. GATEWAY RECOVERY CENTER, LLC NPI is 1295357747. The provider is registered as an organization entity type.

The provider's business location address is:

6775 CAHILL AVE
INVER GROVE HEIGHTS, MN
ZIP 55076-066
Phone: (651) 698-7358

The provider's authorized official is Drew Horowitz .
The authorized official title is Owner and has the following contact phone number (651) 698-7358.

The CLIA number assigned to this NPI record is 24D2190522 - skilled nursing facility/nursing facility with a certificate type of Certificate of Waiver.

The enumeration date for this NPI number is 5/7/2020 and was last updated on 5/7/2020.

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
1	261QR0405X	Clinic/Center	Rehabilitation, Substance Use Disorder			Yes

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: 4/28/2024

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