Provider Demographics
NPI:1265223556
Name:GATES TRANSPORTATION, INC
Entity type:Organization
Organization Name:GATES TRANSPORTATION, INC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:CEO
Authorized Official - Prefix:
Authorized Official - First Name:SHRONDA
Authorized Official - Middle Name:YVETTE
Authorized Official - Last Name:ALLEN
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:352-256-8182
Mailing Address - Street 1:PO BOX 141202
Mailing Address - Street 2:
Mailing Address - City:GAINESVILLE
Mailing Address - State:FL
Mailing Address - Zip Code:32614-1202
Mailing Address - Country:US
Mailing Address - Phone:352-256-8182
Mailing Address - Fax:352-727-0858
Practice Address - Street 1:300 E UNIVERSITY AVE STE 160
Practice Address - Street 2:
Practice Address - City:GAINESVILLE
Practice Address - State:FL
Practice Address - Zip Code:32601-3462
Practice Address - Country:US
Practice Address - Phone:352-256-8182
Practice Address - Fax:352-727-0858
EIN:<UNAVAIL>
Is Organization Subpart?:Yes
Parent Organization LBN:GRACE & FAVOR GROUP HOME, INC
Parent Organization TIN:<UNAVAIL>
Enumeration Date:2025-05-15
Last Update Date:2025-05-15
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes347C00000XTransportation ServicesPrivate Vehicle
Provider Identifiers
StateIdentifier IDID TypeIssuer
FL115603600Medicaid