Gaines, Gladys A

Gaines, Gladys A is an sole proprietor health care provider with primary practice located at 7 Sand Mountain Rd , Fort Meade FL 33841-3201. She recently has 5 registered licenses in different health care specialties including Other Service Providers / Driver, Agencies / Home Health, Transportation Services / Non-emergency Medical Transport (VAN), Respite Care Facility / Respite Care, Mental Retardation and/or Developmental Disabilities, Agencies / In Home Supportive Care. Agencies / In Home Supportive Care is her primary health care specialty. Gaines, Gladys A can be contacted via phone (863) 605-8295.

Contact Information

Primary practice address
7 Sand Mountain Rd Fort Meade FL 33841-3201
Phone: (863) 605-8295
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Other Service Providers / Driver 172A00000X Florida
Agencies / Home Health 251E00000X
Transportation Services / Non-emergency Medical Transport (VAN) 343900000X
Respite Care Facility / Respite Care, Mental Retardation and/or Developmental Disabilities 385HR2060X
Agencies / In Home Supportive Care 253Z00000X

Profile Details

NPI number 1013214691
LBN Legal business name Gaines, Gladys A
Credentials
Entity Individual
Sole proprietor 1 Yes
Enumeration date Feb 17th, 2011
Last updated May 1st, 2024 - about 2 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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Identifiers

StateTypeNumberIssuer
All States NPI 1013214691 NPPES
Florida MEDICAID 002313600
Florida MEDICAID 000630100
Florida MEDICAID 000309700
Florida MEDICAID 002313900
Florida MEDICAID 002536200

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