GAUDENZIA INC


Address: 1300 Spring Garden Street, Philadelphia, PA 19123
Phone: 2154409669

GAUDENZIA INC (NPI# 1174741821) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).

Provider Overview

Nation Provider ID (NPI) 1174741821
Entity Type Organization
Organization Name GAUDENZIA INC
Other Organization Name GAUDENZIA NEW BEGINNINGS
Practice Address 1300 Spring Garden Street
Philadelphia
PA 19123
Mailing Address 106 West Main Street
Norristown
PA 19401-4716
Practice Telephone 2154409669
Practice Fax Number 2154409122
Mailing Telephone 6102399600
Mailing Fax Number 6102757025
Enumeration Date 2007-04-20
Last Update Date 2016-06-22
Authorized Official Name MR. MICHAEL COYLE (DIR. FISCAL & ACCOUNTING OPERATIONS)
Authorized Official Telephone 6102399600
Authorized Official Credential CPA
Is Organization Subpart N

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
Y 261QR0405X Clinic/Center
Specialization: Rehabilitation, Substance Use Disorder
176280 PA Ambulatory Health Care Facilities

Other Provider Identifier

State Issuer Identifier Type Code
PA 1002285890091 05

Other Provider/Organization Names

Other Name Type Code
GAUDENZIA NEW BEGINNINGS Other Name - Individual/Organization

Other Provider IDs and Locations

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
1093933749 Gaudenzia Inc Clinic/Center 91 Broad Street, Ashland, PA 17921 2007-04-20
1437377181 Gaudenzia Inc Clinic/Center 607 East Church Lane, Apt. B-6, Philadelphia, PA 19144 2007-04-20

Office Location

Street Address 1300 SPRING GARDEN STREET
City PHILADELPHIA
State PA
Zip Code 19123

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1508389214 Greater Delaware Valley Society of Transplant Surgeons Organ Procurement Organization 401 N. 3rd Street, Philadelphia, PA 19123 2017-07-25
1770987588 Eugene Borys Social Worker 1217 Spring Garden Street, 1st Fl, Bebashi Transition To Hope, Philadelphia, PA 19123 2014-10-22
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Taxonomy Information

Taxonomy Code 261QR0405X
Grouping Ambulatory Health Care Facilities
Classification Clinic/Center
Specialization Rehabilitation, Substance Use Disorder

Taxonomy Definition

Definition to come...

Providers in the same taxonomy and city

NPI Name Taxonomy Address Enumeration
1679050900 Limitless Recovery Center LLC Clinic/Center 1206 E Palmer St, Philadelphia, PA 19125-3308 2018-07-19
1922273564 Gaudenzia Clinic/Center 1834 W Tioga St, Philadelphia, PA 19140-4939 2008-04-24
1437377181 Gaudenzia Inc Clinic/Center 607 East Church Lane, Apt. B-6, Philadelphia, PA 19144 2007-04-20
1629295076 Gaudenzia Inc Clinic/Center 701 North 63rd Street, Philadelphia, PA 19151 2007-04-19
1316086655 Minsec Treatment Center Clinic/Center 3768 L St, Philadelphia, PA 19124-5530 2007-02-05
1063577989 Resources for Human Development Clinic/Center 5000 Jackson St, Philadelphia, PA 19124-2117 2006-12-22
1477660470 Riverside Care, Inc Clinic/Center 2701 N. Broad St, Philadelphia, PA 19132-2743 2006-08-24
1770517922 Riverside Care, Inc Clinic/Center 5501 Chestnut St, Philadelphia, PA 19139-3205 2006-07-11
1245759943 Merakey Recovery Services Clinic/Center 801 W Girard Ave, Philadelphia, PA 19122-4212 2017-09-13
1407226434 Holistix Outpatient Center Clinic/Center 2300 S Broad St, Ste 202-203, Philadelphia, PA 19145-4461 2015-10-02
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Competitor

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City PHILADELPHIA
Zip Code 19123

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Dataset Information

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.

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