Provider Demographics
NPI:1093101164
Name:GLADIATOR SOLUTIONS, INC.
Entity Type:Organization
Organization Name:GLADIATOR SOLUTIONS, INC.
Other - Org Name:ACTI-KARE OF COLLEYVILLE
Other - Org Type:Doing Business As
Authorized Official - Title/Position:PRESIDENT
Authorized Official - Prefix:
Authorized Official - First Name:JASON
Authorized Official - Middle Name:
Authorized Official - Last Name:GATHING
Authorized Official - Suffix:
Authorized Official - Credentials:MED
Authorized Official - Phone:214-729-4875
Mailing Address - Street 1:379 RALPH MCGILL NE
Mailing Address - Street 2:K
Mailing Address - City:ATLANTA
Mailing Address - State:GA
Mailing Address - Zip Code:30312-1214
Mailing Address - Country:US
Mailing Address - Phone:214-729-4875
Mailing Address - Fax:
Practice Address - Street 1:379 RALPH MCGILL BLVD NE APT K
Practice Address - Street 2:
Practice Address - City:ATLANTA
Practice Address - State:GA
Practice Address - Zip Code:30312-1214
Practice Address - Country:US
Practice Address - Phone:214-729-4875
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2015-04-15
Last Update Date:2022-07-21
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
GA060-R-1792251E00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251E00000XAgenciesHome Health