GAUDENZIA INC (NPI# 1437377181) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
Nation Provider ID (NPI) | 1437377181 |
Entity Type | Organization |
Organization Name | GAUDENZIA INC |
Other Organization Name | GAUDENZIA PROGRESS HOUSE |
Practice Address |
607 East Church Lane Apt. B-6 Philadelphia PA 19144 |
Mailing Address |
106 West Main Street Norristown PA 19401-4716 |
Practice Telephone | 2158480280 |
Practice Fax Number | 2158486747 |
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 |
Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
---|---|---|---|---|---|
Y | 261QR0405X |
Clinic/Center Specialization: Rehabilitation, Substance Use Disorder |
199110 | PA | Ambulatory Health Care Facilities |
State | Issuer | Identifier | Type Code |
---|---|---|---|
PA | 1002285890089 | 05 |
Other Name | Type Code |
---|---|
GAUDENZIA PROGRESS 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 |
1538387287 | Gaudenzia Inc | Clinic/Center | 128 East Azalea Drive, Green Bldg., Harrisburg, PA 17110 | 2007-04-20 |
Street Address |
607 EAST CHURCH LANE APT. B-6 |
City | PHILADELPHIA |
State | PA |
Zip Code | 19144 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1174053714 | Claudia Palacio | Social Worker | 85 East Logan St., Philadelphia, PA 19144 | 2017-06-15 |
1265963391 | Sunil Senior Care LLC | Custodial Care Facility | 220 E Chelten Ave, Philadelphia, PA 19144 | 2017-03-21 |
1114460276 | Richard Mitchell | Social Worker | 6327 Burbridge, Philadelphia, PA 19144 | 2016-11-22 |
1417399312 | Resources for Human Development | Community/Behavioral Health | 5536 Pulaski Avenue, Philadelphia, PA 19144 | 2013-07-22 |
1457601494 | Maikel Griages | Podiatrist | 5555 Wissahickon Avenue, Apt. 216, Philadelphia, PA 19144 | 2012-09-18 |
1982977179 | Hota Edward Liu | Dentist | 515 West Chelten Ave, Suite #1, Philadelphia, PA 19144 | 2012-02-17 |
1366724585 | Rasidah Campbell | Pharmacist | 5627 Germantown Avenue, Walgreens Pharmacy, Philadelphia, PA 19144 | 2011-09-14 |
1326344755 | Lakeva Hamilton-killion | Case Management | 633 W Ritenhouse Street, Apartment B702, Philadelphia, PA 19144 | 2011-02-02 |
1083924682 | Merakey Philadelphia | Community/Behavioral Health | 235 - 237 School House Lane, Philadelphia, PA 19144 | 2010-10-15 |
1235440785 | Faisal Javed | Internal Medicine | 633 W Rittenhouse Street, Apt B504, Philadelphia, PA 19144 | 2010-06-30 |
Find all providers in zip 19144 |
Taxonomy Code | 261QR0405X |
Grouping | Ambulatory Health Care Facilities |
Classification | Clinic/Center |
Specialization | Rehabilitation, Substance Use Disorder |
Definition to come... |
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 |
1174741821 | Gaudenzia Inc | Clinic/Center | 1300 Spring Garden Street, Philadelphia, PA 19123 | 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 |
Find all providers in PHILADELPHIA |
City | PHILADELPHIA |
Zip Code | 19144 |
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.