Provider Demographics
NPI:1952851602
Name:GATES HEALTH CARE SERVICES, LLC
Entity Type:Organization
Organization Name:GATES HEALTH CARE SERVICES, LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:ADMINISTRATOR
Authorized Official - Prefix:
Authorized Official - First Name:KIM
Authorized Official - Middle Name:
Authorized Official - Last Name:STEELE
Authorized Official - Suffix:
Authorized Official - Credentials:MBA
Authorized Official - Phone:678-206-3553
Mailing Address - Street 1:400 WALLACE CIR
Mailing Address - Street 2:
Mailing Address - City:BLOOMINGDALE
Mailing Address - State:GA
Mailing Address - Zip Code:31302-8050
Mailing Address - Country:US
Mailing Address - Phone:678-206-3553
Mailing Address - Fax:
Practice Address - Street 1:400 WALLACE CIR
Practice Address - Street 2:
Practice Address - City:BLOOMINGDALE
Practice Address - State:GA
Practice Address - Zip Code:31302-8050
Practice Address - Country:US
Practice Address - Phone:678-206-3553
Practice Address - Fax:912-965-0643
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2016-10-06
Last Update Date:2016-10-06
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
GA3104A0625X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes3104A0625XNursing & Custodial Care FacilitiesAssisted Living FacilityAssisted Living, Mental Illness