Provider Demographics
NPI:1689102196
Name:GLADKIDS, LLC
Entity Type:Organization
Organization Name:GLADKIDS, LLC
Other - Org Name:GLADKIDS
Other - Org Type:Doing Business As
Authorized Official - Title/Position:CEO/ ADMINISTRATOR
Authorized Official - Prefix:MS
Authorized Official - First Name:GLADYS
Authorized Official - Middle Name:
Authorized Official - Last Name:EZEM
Authorized Official - Suffix:
Authorized Official - Credentials:RN
Authorized Official - Phone:832-762-7348
Mailing Address - Street 1:14458 ANDREA WAY LN
Mailing Address - Street 2:
Mailing Address - City:HOUSTON
Mailing Address - State:TX
Mailing Address - Zip Code:77083-7712
Mailing Address - Country:US
Mailing Address - Phone:832-762-7348
Mailing Address - Fax:832-672-5872
Practice Address - Street 1:14458 ANDREA WAY LN
Practice Address - Street 2:
Practice Address - City:HOUSTON
Practice Address - State:TX
Practice Address - Zip Code:77083-7712
Practice Address - Country:US
Practice Address - Phone:832-762-7348
Practice Address - Fax:832-672-5872
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2017-05-28
Last Update Date:2022-07-21
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251E00000XAgenciesHome Health