GAUDENZIA INC (NPI# 1336263755) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
Nation Provider ID (NPI) | 1336263755 |
Entity Type | Organization |
Organization Name | GAUDENZIA INC |
Other Organization Name | GAUDENZIA VANTAGE HOUSE |
Practice Address |
208 E King St Lancaster PA 17602-2927 |
Mailing Address |
106 W Main St Norristown PA 19401-4716 |
Practice Telephone | 7172911020 |
Practice Fax Number | 7172939064 |
Mailing Telephone | 6102399600 |
Mailing Fax Number | 6102757025 |
Enumeration Date | 2007-03-19 |
Last Update Date | 2011-02-15 |
Authorized Official Name | MR. MICHAEL J MOYLE (DIR. FISCAL & CORPORATE OPERATIONS) |
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 |
367044 | PA | Ambulatory Health Care Facilities |
State | Issuer | Identifier | Type Code |
---|---|---|---|
PA | 1002285890087 | 05 |
Other Name | Type Code |
---|---|
GAUDENZIA VANTAGE HOUSE | 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 |
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 |
Street Address |
208 E KING ST |
City | LANCASTER |
State | PA |
Zip Code | 17602-2927 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1093313173 | Taylor Giambrone | Registered Nurse | Lgh Nurse Family Partnership, 555 North Duke Street, Lancaster, PA 17602 | 2020-10-12 |
1982268843 | Blanche Nichole Breznak | Pharmacist | 201 East Chestnut St, Lancaster, PA 17602 | 2019-04-25 |
1285104851 | Stephanie Benedict | Pharmacist | 1603 Lincoln Highway East, Lancaster, PA 17602 | 2018-11-27 |
1043709835 | Deborah J Campos-bard, Lmt | Massage Therapist | 439 N. Duke St. 2nd Fl., 2, Lancaster, PA 17602 | 2018-05-07 |
1861989493 | Functional Freedom LLC | Occupational Therapist | 105 Heritage Rd., Lancaster, PA 17602 | 2018-04-19 |
1083094577 | Gracie Berry | Counselor | 413 Church St, Lancaster, PA 17602 | 2015-06-01 |
1366835597 | Holcomb Associates, Inc. | Community/Behavioral Health | 800 New Holland Avenue, Lancaster, PA 17602 | 2015-03-12 |
1205236965 | Maria Taylor | Physician Assistant | 555 N Duke Street, Lghp Hospitalists, Lancaster, PA 17602 | 2014-09-01 |
1114355104 | Charles Eugene Stream | Physician Assistant | 133 East Fredeick Street, Lancaster, PA 17602 | 2013-10-29 |
1710221668 | Kourtney Randsdorp | Occupational Therapist | 105 Heritage Rd, Lancaster, PA 17602 | 2012-11-15 |
Find all providers in zip 17602 |
Taxonomy Code | 261QR0405X |
Grouping | Ambulatory Health Care Facilities |
Classification | Clinic/Center |
Specialization | Rehabilitation, Substance Use Disorder |
Definition to come... |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1235219635 | Spanish American Civic Association for Equality, Inc | Clinic/Center | 50 E New St, Lancaster, PA 17602-2074 | 2006-10-17 |
1104350263 | Design for Living Behavior Health, Inc. | Clinic/Center | 1805 W Avenue K, Suite 202, Lancaster, CA 93534-5925 | 2017-04-16 |
1619106747 | Tarzana Treatment Centers, Inc. | Clinic/Center | 44443 10th St W, Lancaster, CA 93534-3346 | 2009-07-10 |
1730306499 | Antelope Valley Rehabilitation Centers | Clinic/Center | 44900 60th St W, Chp Trailer, Lancaster, CA 93536-7618 | 2007-04-20 |
1720014988 | Lancaster County Commission On Alcohol and Drug Abuse | Clinic/Center | 114 S Main St, Lancaster, SC 29720-2442 | 2006-06-22 |
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.