GAUDENZIA INC (NPI# 1376103556) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1376103556 |
| Entity Type | Organization |
| Organization Name | GAUDENZIA INC |
| Practice Address |
18514 Pentecostal St Ellendale DE 19941-3358 |
| Mailing Address |
106 W Main St Norristown PA 19401-4716 |
| Practice Telephone | 3028368260 |
| Practice Fax Number | 3025033155 |
| Mailing Telephone | 6102399600 |
| Mailing Fax Number | 6102757025 |
| Enumeration Date | 2019-06-19 |
| Last Update Date | 2019-06-19 |
| Authorized Official Name | MR. NICHOLAS CHABAN (CONTROLLER) |
| Authorized Official Telephone | 6102399600 |
| Authorized Official Credential | CPA |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 320800000X | Community Based Residential Treatment Facility, Mental Illness | Residential Treatment Facilities | ||
| Y | 261QR0405X |
Clinic/Center Specialization: Rehabilitation, Substance Use Disorder |
Ambulatory Health Care Facilities |
| Other Name | Type Code |
|---|---|
| Gaudenzia Vision of Hope | Doing Business As Name - Organization |
| Gaudenzia Vision of Hope | 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 |
18514 PENTECOSTAL ST |
| City | ELLENDALE |
| State | DE |
| Zip Code | 19941-3358 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1619154317 | Elizabeth Jones | Counselor | 18514 Pentecostal St, Ellendale, DE 19941-3358 | 2008-01-24 |
| 1518392273 | Denise Renee Nicolai | Counselor | 18514 Pentecostal St, Ellendale, DE 19941-3358 | 2013-09-12 |
| 1447590351 | Nickole R Visan | Counselor | 18514 Pentecostal St, Ellendale, DE 19941-3358 | 2013-03-01 |
| 1679854715 | Rosemarie Rita Molettiere | Counselor | 18514 Pentecostal St, Ellendale, DE 19941-3358 | 2011-09-02 |
| 1346567005 | Linda Lee Jenkins | Counselor | 18514 Pentecostal St, Ellendale, DE 19941-3358 | 2010-04-21 |
| 1144480658 | Sharronda Katrice Whaley | Counselor | 18514 Pentecostal St, Ellendale, DE 19941-3358 | 2008-06-10 |
| 1053587600 | Threasa D Brittingham | Counselor | 18514 Pentecostal St, Ellendale, DE 19941-3358 | 2008-05-05 |
| 1871769422 | Cynthia M Aman | Counselor | 18514 Pentecostal St, Ellendale, DE 19941-3358 | 2008-05-05 |
| 1366611758 | Camille Tuck | Counselor | 18514 Pentecostal St, Ellendale, DE 19941-3358 | 2008-02-29 |
| 1184892713 | Sharon June Cooper | Counselor | 18514 Pentecostal St, Ellendale, DE 19941-3358 | 2008-02-18 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1629255732 | Carol Pearsall | Counselor | 13726 S. Old State Rd, Ellendale, DE 19941 | 2008-01-31 |
| 1619154721 | Vonda Deputy-smith | Counselor | 13726 S. Old State Road, Ellendale, DE 19941 | 2008-01-31 |
| 1548443799 | Gloria V. Phillips | Counselor | 13726 South Old State, Ellendale, DE 19941 | 2007-12-11 |
| 1821271073 | Denise M Wilson | Counselor | 13726 South Old State Road, Ellendale, DE 19941 | 2007-12-11 |
| 1174682348 | Teresa Ann Ysaguirre | Counselor | 12649 N. Dupont Blvd., Ellendale, DE 19941 | 2006-12-06 |
| 1184738601 | Kent/sussex Detoxification Center | Substance Abuse Rehabilitation Facility | 700 Main Street, Ellendale, DE 19941 | 2006-08-19 |
| 1720261977 | Donna Bolger | Counselor | 13726 South Old State Road, Ellendale, DE 19941 | 2007-12-11 |
| 1295377190 | Tina Moyer | Counselor | 700 Main St, Ellendale, DE 19941-2066 | 2019-10-11 |
| 1114587276 | Jennifer Dize | Counselor | 700 Main St, Ellendale, DE 19941-2066 | 2019-06-19 |
| 1588227599 | Sujati Kartini Santohir | Counselor | 700 Main St, Ellendale, DE 19941-2066 | 2019-04-16 |
| Find all providers in zip 19941 | ||||
| Taxonomy Code | 261QR0405X |
| Grouping | Ambulatory Health Care Facilities |
| Classification | Clinic/Center |
| Specialization | Rehabilitation, Substance Use Disorder |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1104427954 | Ch Mh Services (de), LLC | Clinic/Center | 2417 Lancaster Ave Unit 110, Wilmington, DE 19805-3736 | 2020-11-06 |
| 1356949283 | Aquila of Delaware, Inc. | Clinic/Center | 1817 Choptank Rd, Middletown, DE 19709-9047 | 2020-10-13 |
| 1275131104 | Aquila of Delaware, Inc. | Clinic/Center | 2960 Red Lion Rd, Bear, DE 19701-2417 | 2020-10-13 |
| 1508464819 | Aquila of Delaware, Inc. | Clinic/Center | 1539 Bohemia Mill Rd, Middletown, DE 19709-6001 | 2020-10-09 |
| 1144830738 | Aviva Mental Health Services Inc | Clinic/Center | 219 W 9th St, Wilmington, DE 19801-1619 | 2020-08-07 |
| 1891347035 | Connections Community Support Programs, Inc. | Clinic/Center | 34 Continental Ave, Newark, DE 19711-5310 | 2019-07-09 |
| 1548760960 | Phoenix Center for Health and Wellness LLC | Clinic/Center | 222 Philadelphia Pike Ste 12, Wilmington, DE 19809 | 2018-02-13 |
| 1790145209 | Psychotherapeutic Services Inc | Clinic/Center | 514 W Lebanon Rd, Dover, DE 19901-6158 | 2016-02-25 |
| 1033578893 | Psychotherapeutic Services Inc | Clinic/Center | 1420 Mckee Rd, Dover, DE 19904-1378 | 2016-02-22 |
| 1508225905 | Connections Csp Brandywine Street Women's Residential Treatment Progra | Clinic/Center | 1120 Brandywine St, Wilmington, DE 19802-5219 | 2016-02-15 |
| Find all providers with the same taxonomy | ||||
Please comment or provide details below to improve the information on GAUDENZIA INC.
| 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.