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GREGORY ALAN ELLIS DBA GATEWAYS OF TEXAS NPI 1326241688


NPI Information

NPI: 1326241688
Provider Name: GREGORY ALAN ELLIS DBA GATEWAYS OF TEXAS
Classification: Day Training, Developmentally Disabled Services - 251C00000X
Entity Type: Organization
Address:
6737 BRENTWOOD STAIR RD STE 124
FORT WORTH, TX
ZIP 76112
Phone: (817) 429-7698
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GREGORY ALAN ELLIS DBA GATEWAYS OF TEXAS is a day training developmentally disabled services in Fort Worth, TX. The provider is these agencies are authorized to provide day habilitation services to developmentally disabled individuals who live in their homes. The function of day habilitation is to assist an individual to acquire and maintain those life skills that enable the individual to cope more effectively with the demands of independent living. Also to raise the level of the individual's physical, mental, social, and vocational functioning. GREGORY ALAN ELLIS DBA GATEWAYS OF TEXAS NPI is 1326241688. The provider is registered as an organization entity type.

The provider's business location address is:

6737 BRENTWOOD STAIR RD STE 124
FORT WORTH, TX
ZIP 76112-336
Phone: (817) 429-7698
Fax: (817) 429-1281

The provider's authorized official is Gregory Alan Ellis .
The authorized official title is Owner and has the following contact phone number (817) 429-7698.

The enumeration date for this NPI number is 6/6/2007 and was last updated on 8/22/2020.


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 CodeTaxonomy ClasificationTaxonomy SpecializationLicense NumberLicense StatePrimary
1251C00000XDay Training, Developmentally Disabled ServicesYes
2320900000XCommunity Based Residential Treatment Facility, Intellectual and/or Developmental DisabilitiesX

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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