GAUDENZIA INC (NPI# 1366656175) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1366656175 |
| Entity Type | Organization |
| Organization Name | GAUDENZIA INC |
| Other Organization Name | GAUDENZIA AT PARK HEIGHTS |
| Practice Address |
4615 Park Heights Ave Baltimore MD 21215-6331 |
| Mailing Address |
106 W Main St Norristown PA 19401-4716 |
| Practice Telephone | 4434231500 |
| Practice Fax Number | 4434231495 |
| Mailing Telephone | 6102399600 |
| Mailing Fax Number | 6102757025 |
| Enumeration Date | 2007-05-10 |
| Last Update Date | 2010-02-05 |
| 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 |
|---|---|---|---|---|---|
| N | 261QR0405X |
Clinic/Center Specialization: Rehabilitation, Substance Use Disorder |
12536 | MD | Ambulatory Health Care Facilities |
| Y | 261Q00000X | Clinic/Center | 10478 | MD | Ambulatory Health Care Facilities |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| MD | 4171233 00 | 05 |
| Other Name | Type Code |
|---|---|
| GAUDENZIA AT PARK HEIGHTS | 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 |
| 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 |
| 1538387287 | Gaudenzia Inc | Clinic/Center | 128 East Azalea Drive, Green Bldg., Harrisburg, PA 17110 | 2007-04-20 |
| Street Address |
4615 PARK HEIGHTS AVE |
| City | BALTIMORE |
| State | MD |
| Zip Code | 21215-6331 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1093235954 | Gaudenzia Inc | Substance Abuse Rehabilitation Facility | 4615 Park Heights Ave, Baltimore, MD 21215-6331 | 2017-06-22 |
| 1376886721 | Gaudenzia.org | Substance Abuse Rehabilitation Facility | 4615 Park Heights Ave, Baltimore, MD 21215-6331 | 2013-04-04 |
| 1215256417 | Gaudenzia | Clinic/Center | 4615 Park Heights Ave, Baltimore, MD 21215-6331 | 2010-05-27 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1639736796 | Talal Abalkhail | Student in an Organized Health Care Education/Training Program | 2401 W. Belvedere Avenue, Baltimore, Md 21215, Baltimore, MD 21215 | 2019-05-23 |
| 1235795410 | Bilal Khan | Student in an Organized Health Care Education/Training Program | 2041 West Belvedere Avenue, Balitmore, MD 21215 | 2019-05-14 |
| 1669036067 | Nasir M Alhamdan | Student in an Organized Health Care Education/Training Program | Of Baltimore, 2401 West Belvedere Ave, Baltimore, MD 21215 | 2019-05-01 |
| 1851863971 | Brittany Michelle O'neill | Specialist/Technologist | Hearing and Speech Agency, 5900 Metro Drive, Baltimore, MD 21215 | 2018-12-31 |
| 1881164432 | Emily Gamma | Social Worker | 4810 Seton Drive, Baltimore, MD 21215 | 2018-11-27 |
| 1518440478 | Benson Baby | Physical Therapist | 2525west Belveder Ave, Baltimore, MD 21215 | 2018-09-07 |
| 1609360817 | Bonnie Kahler | Clinical Nurse Specialist | 2401 Belvedere Avenue, Baltimore, MD 21215 | 2018-06-20 |
| 1932693843 | Kelley Monica Cohill | Social Worker | Sinai Hospital, Department of Psychiatry, 2440 Cylburn Ave., Baltimore, MD 21215 | 2018-06-15 |
| 1497245609 | Kimberly Beth Koerner | Social Worker | 2401 W. Belvedere Avenue, Baltimore, MD 21215 | 2018-05-14 |
| 1184113078 | Mary Jo Kozel | Registered Nurse | 2401 West Belvedere, Baltimore, MD 21215 | 2018-05-07 |
| Find all providers in zip 21215 | ||||
| Taxonomy Code | 261Q00000X |
| Grouping | Ambulatory Health Care Facilities |
| Classification | Clinic/Center |
| A facility or distinct part of one used for the diagnosis and treatment of outpatients. "Clinic/Center" is irregularly defined, sometimes being limited to organizations serving specialized treatment requirements or distinct patient/client groups (e.g., radiology, poor, and public health). |
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| 1831671684 | Farrell & Associates | Clinic/Center | 4201 Harcourt Rd, Baltimore, MD 21214-3409 | 2018-08-29 |
| 1023502838 | Pikesville Pediatrics, LLC | Clinic/Center | 19 Walker Ave Ste 304, Baltimore, MD 21208-4067 | 2018-06-15 |
| 1740798412 | Victory Medical Center | Clinic/Center | 1101 N Point Blvd Ste 110, Baltimore, MD 21224-3417 | 2018-01-17 |
| 1730612235 | Concerted Care Group Brooklyn | Clinic/Center | 112 E Patapsco Ave, Baltimore, MD 21225-1745 | 2017-04-11 |
| 1659538437 | Powell Recovery Institute | Clinic/Center | 16 S Broadway, Baltimore, MD 21231-1712 | 2008-05-20 |
| Find all providers in BALTIMORE | ||||
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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.