GAUDENZIA INC (NPI# 1629295076) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1629295076 |
| Entity Type | Organization |
| Organization Name | GAUDENZIA INC |
| Other Organization Name | GAUDENZIA FOCUS HOUSE |
| Practice Address |
701 North 63rd Street Philadelphia PA 19151 |
| Mailing Address |
106 West Main Street Norristown PA 19401-4716 |
| Practice Telephone | 2154770063 |
| Practice Fax Number | 2154773318 |
| Mailing Telephone | 6102399600 |
| Mailing Fax Number | 6102757025 |
| Enumeration Date | 2007-04-19 |
| 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 |
807204 | PA | Ambulatory Health Care Facilities |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| PA | 1002285890088 | 05 |
| Other Name | Type Code |
|---|---|
| GAUDENZIA FOCUS 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 |
701 NORTH 63RD STREET |
| City | PHILADELPHIA |
| State | PA |
| Zip Code | 19151 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1346860145 | Antonio Mayhew | Home Health | 1244 N 64th St, Philadelphia, PA 19151 | 2020-04-21 |
| 1477078913 | Nikisha Davis | Marriage & Family Therapist | 7621 Brookhaven Road, Philadelphia, PA 19151 | 2017-08-05 |
| 1376066092 | Kialenah Stewart | Technician | 451 N Edgewood Street, Philadelphia, PA 19151 | 2017-07-25 |
| 1922413186 | My Community My Way | Day Training, Developmentally Disabled Services | 1715 North Felton Street, Philadelphia, PA 19151 | 2014-06-26 |
| 1245670033 | Harcum Healthcare Group, LLC | Home Health | 7401 Woodbine Avenue, Philadelphia, PA 19151 | 2013-06-26 |
| 1639515687 | Daniel A Rader | Dentist | 7300 City Ave Suite 210, Phila, PA 19151 | 2013-05-17 |
| 1053632547 | Nalini Venkateswaran | Pharmacist | 7564-7570 Haverford Avenue, Rite Aid Pharmacy, Philadelphia, PA 19151 | 2010-06-18 |
| 1740494533 | Suburban Rehabilitation Associates, LLC | Orthopaedic Surgery | 7225 Haverford Avenue, Philadelphia, PA 19151 | 2007-05-10 |
| 1902027741 | Ndeye Aissatou Lo | Pharmacist | 7564 Haverford Ave, Philadelphia, PA 19151 | 2007-05-01 |
| 1689719221 | Marlene Adriene Gross | Family Medicine | 6101 Landsdowne Avenue, Philadelphia, PA 19151 | 2007-02-21 |
| Find all providers in zip 19151 | ||||
| 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 |
| 1437377181 | Gaudenzia Inc | Clinic/Center | 607 East Church Lane, Apt. B-6, Philadelphia, PA 19144 | 2007-04-20 |
| 1174741821 | Gaudenzia Inc | Clinic/Center | 1300 Spring Garden Street, Philadelphia, PA 19123 | 2007-04-20 |
| 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 | 19151 |
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.