GAUDENZIA INC (NPI# 1093933749) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1093933749 |
| Entity Type | Organization |
| Organization Name | GAUDENZIA INC |
| Other Organization Name | GAUDENZIA NEW DESTINY |
| Practice Address |
91 Broad Street Ashland PA 17921 |
| Mailing Address |
106 West Main Street Norristown PA 19401-4716 |
| Practice Telephone | 5708752287 |
| Practice Fax Number | 5708752203 |
| Mailing Telephone | 6102399600 |
| Mailing Fax Number | 6102757025 |
| Enumeration Date | 2007-04-20 |
| Last Update Date | 2020-08-22 |
| Authorized Official Name | MR. MICHAEL J MOYLE (DIR. OF FISCAL & CORPORATE OPERATIO) |
| Authorized Official Telephone | 6102399600 |
| Authorized Official Credential | J.D. |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 261QR0405X |
Clinic/Center Specialization: Rehabilitation, Substance Use Disorder |
547023 | PA | Ambulatory Health Care Facilities |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| PA | 1002285890066 | 05 |
| Other Name | Type Code |
|---|---|
| GAUDENZIA NEW DESTINY | Other Name - Individual/Organization |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1609358456 | Gaudenzia Inc | Clinic/Center | 500 Northumberland, Coal Township, PA 17866 | 2018-08-29 |
| 1124409818 | Gaudenzia Inc | Clinic/Center | 1141 E Market St, York, PA 17403-1157 | 2015-06-18 |
| 1134536113 | Gaudenzia Inc | Clinic/Center | 3901 Philadelphia Pike, Claymont, DE 19703-2721 | 2014-07-22 |
| 1104058338 | Gaudenzia Inc | Clinic/Center | 1 S 2nd St, 4th Floor, Pottsville, PA 17901-3174 | 2009-08-21 |
| 1073768123 | Gaudenzia Inc | Clinic/Center | 604 W 10th St, Wilmington, DE 19801-1424 | 2008-11-17 |
| 1659585461 | Gaudenzia Inc | Clinic/Center | 1728 N 2nd St, Harrisburg, PA 17102-2303 | 2007-05-10 |
| 1366656175 | Gaudenzia Inc | Clinic/Center | 4615 Park Heights Ave, Baltimore, MD 21215-6331 | 2007-05-10 |
| 1851504096 | Gaudenzia Inc | Clinic/Center | 3643 Woodland Ave, Baltimore, MD 21215-5512 | 2007-05-07 |
| 1437377181 | Gaudenzia Inc | Clinic/Center | 607 East Church Lane, Apt. B-6, Philadelphia, PA 19144 | 2007-04-20 |
| 1538387287 | Gaudenzia Inc | Clinic/Center | 128 East Azalea Drive, Green Bldg., Harrisburg, PA 17110 | 2007-04-20 |
| Street Address |
91 BROAD STREET |
| City | ASHLAND |
| State | PA |
| Zip Code | 17921 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1124193743 | John William Stefovic | General Practice | 530 Centre Street, Ashland, PA 17921 | 2006-11-21 |
| 1063594570 | John E Wolfgang | Chiropractor | 1028 Centre Street, Ashland, PA 17921 | 2006-10-20 |
| 1043204670 | Concept Pharmacy Services LLC | Durable Medical Equipment & Medical Supplies | 639 Chestnut St, Ashland, PA 17921 | 2005-09-09 |
| 1295998169 | Jason John Clarity | Internal Medicine | 101 Broad St., St. Catherine Medical Center, Ashland, PA 17921 | 2008-07-09 |
| 1649339383 | Mark David Gernerd | Emergency Medicine | 101 Broad Street, Saint Catherine Medical Center Fountain Springs, Ashland, PA 17921 | 2006-12-08 |
| 1174176796 | Cornerstone Coordinated Health Care, LLC | Clinic/Center | 2114 Centre St, Ashland, PA 17921-1015 | 2019-07-23 |
| 1215247846 | Kimberly Kay Walacavage | Occupational Therapist | 2130 Centre St, Ashland, PA 17921-1015 | 2010-10-17 |
| 1720611726 | Cornerstone Coordinated Health Care, LLC | Family Medicine | 2114 Centre St, Ashland, PA 17921-1015 | 2020-02-18 |
| 1164414934 | Washington Fire Company and Community Ambulance | Ambulance | 1309 W Center St, Ashland, PA 17921-1102 | 2005-08-18 |
| 1992949168 | Ann M Batdorf | Nurse Practitioner | 1808 Centre St, Ashland, PA 17921-1123 | 2009-05-01 |
| Find all providers in zip 17921 | ||||
| Taxonomy Code | 261QR0405X |
| Grouping | Ambulatory Health Care Facilities |
| Classification | Clinic/Center |
| Specialization | Rehabilitation, Substance Use Disorder |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1487779294 | Gaudenzia Inc | Clinic/Center | 95 Broad St, Ashland, PA 17921-2101 | 2007-03-20 |
| 1215562228 | Dimension Youth Services Inc. | Clinic/Center | 100 Arbor Oak Dr Ste 202, Ashland, VA 23005-2261 | 2020-03-10 |
| 1003314733 | Appleseed Community Mental Health | Clinic/Center | 2233 Rocky Ln, Ashland, OH 44805-4701 | 2018-01-29 |
| 1427430073 | Ashland Addiction Counseling and Education | Clinic/Center | 930 Centre St, Ashland, PA 17921-1244 | 2015-06-19 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1841816204 | Source Behavioral Health Services, LLC | Clinic/Center | 301 Oxford Valley Rd Ste 1302, Yardley, PA 19067-7706 | 2020-06-22 |
| 1780218594 | Davis Archway Centers for Addiction Treatment, Inc. | Clinic/Center | 114 Courson Ln, Emlenton, PA 16373-2502 | 2020-03-02 |
| 1871125625 | New Hope Community Medical Care LLC | Clinic/Center | 2602 W 9th St Ste 101, Chester, PA 19013-2089 | 2020-02-10 |
| 1528699931 | Caron Outpatient Services, LLC | Clinic/Center | 401 Plymouth Rd Ste 325, Plymouth Meeting, PA 19462-1650 | 2020-02-04 |
| 1124658331 | White Oak Wellness | Clinic/Center | 1966 Lincoln Way Ste 100, White Oak, PA 15131-2416 | 2020-01-16 |
| 1518517283 | Peace Valley Recovery | Clinic/Center | 5230 York Rd, Doylestown, PA 18902-1736 | 2019-09-16 |
| 1841853256 | Trinity Recovery LLP | Clinic/Center | 1311 E State St, Sharon, PA 16146-3246 | 2019-04-22 |
| 1861950909 | Advanced Treatment Centers LLC | Clinic/Center | 60 Abele Rd Ste 1103, Bridgeville, PA 15017-3467 | 2019-03-07 |
| 1467918722 | Melissa Francomacaro | Clinic/Center | 1035 W Walnut St Apt 2, Allentown, PA 18102-4847 | 2019-02-12 |
| 1205390325 | Pyramid Health Care Inc. | Clinic/Center | 100 Upper Demunds Rd, Dallas, PA 18612-8811 | 2019-01-23 |
| Find all providers with the same taxonomy | ||||
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| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.