GAUDENZIA (NPI# 1639293418) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1639293418 |
| Entity Type | Organization |
| Organization Name | GAUDENZIA |
| Other Organization Name | GAUDENZIA CHAMBERS HILL ADOLESCENT PROGRAM |
| Practice Address |
3740 Chambers Hill Rd Harrisburg PA 17111-1510 |
| Mailing Address |
106 W Main St Norristown PA 19401-4716 |
| Practice Telephone | 7175610400 |
| Practice Fax Number | 7175610896 |
| Mailing Telephone | 6102399600 |
| Mailing Fax Number | 6102757025 |
| Enumeration Date | 2007-03-19 |
| Last Update Date | 2020-08-22 |
| 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 |
227057 | PA | Ambulatory Health Care Facilities |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| PA | 1002285890043 | 05 | |
| PA | 1002285890044 | 05 |
| Other Name | Type Code |
|---|---|
| GAUDENZIA CHAMBERS HILL ADOLESCENT PROGRAM | Other Name - Individual/Organization |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1487001749 | Gaudenzia | Clinic/Center | 480 Hafer Rd, Lewisburg, PA 17837-7413 | 2016-05-17 |
| 1740652304 | Gaudenzia | Counselor | 570 Ritchie Hwy, Suite H, Severna Park, MD 21146-2925 | 2015-10-22 |
| 1922273564 | Gaudenzia | Clinic/Center | 1834 W Tioga St, Philadelphia, PA 19140-4939 | 2008-04-24 |
| 1225495609 | Gaudenzia | Clinic/Center | 201 Lincoln Way W, Mc Connellsburg, PA 17233-1319 | 2016-01-15 |
| 1215256417 | Gaudenzia | Clinic/Center | 4615 Park Heights Ave, Baltimore, MD 21215-6331 | 2010-05-27 |
| 1811011513 | Gaudenzia | Clinic/Center | 3740 Chambers Hill Rd, Harrisburg, PA 17111-1510 | 2007-03-19 |
| 1881718062 | Gaudenzia | Clinic/Center | 110 Westtown Rd, Suite 115, West Chester, PA 19382-4978 | 2007-03-16 |
| Entity Type | Entity Name | Entity Address |
|---|---|---|
| System for Award Management (SAM) Entities | GAUDENZIA DRC, INC. | 3200 Henry Ave, Philadelphia, PA 19129-1137 |
| System for Award Management (SAM) Entities | GAUDENZIA FOUNDATION, INC. | 106 W Main St, Norristown, PA 19401-4716 |
| System for Award Management (SAM) Entities | GAUDENZIA, INC. | 106 W Main St, Norristown, PA 19401-4716 |
| Street Address |
3740 CHAMBERS HILL RD |
| City | HARRISBURG |
| State | PA |
| Zip Code | 17111-1510 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1508389875 | Gaudenzia Inc | Substance Abuse Rehabilitation Facility | 3740 Chambers Hill Rd, Harrisburg, PA 17111-1510 | 2017-07-19 |
| 1811011513 | Gaudenzia | Clinic/Center | 3740 Chambers Hill Rd, Harrisburg, PA 17111-1510 | 2007-03-19 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1417589011 | Brightwood Adult Day Care LLC | Clinic/Center | 5630 Derry Street, Harrisburg, PA 17111 | 2020-02-11 |
| 1114486008 | Candy Benson | Behavior Technician | 2225 Sycamore St Suite 240, Harrisburg, PA 17111 | 2019-03-19 |
| 1295203206 | Shannon Ingram | Behavior Technician | 2225 Sycamore St Suite 120, Harrisburg, PA 17111 | 2018-11-07 |
| 1255862678 | A Caring Hand Home Health Care LLC | Home Health | 5600 Derry St, Harrisburg, PA 17111 | 2017-03-27 |
| 1073067559 | Migliore Treatment Services LLC | Community/Behavioral Health | 60 S 41st St, Harrisburg, PA 17111 | 2016-08-12 |
| 1013384718 | Alina N Glazunova | Nurse Practitioner | 6010 Pindeale Court, Harrisburg, PA 17111 | 2015-08-28 |
| 1033551494 | Elizabeth Ann Campbell | Behavioral Analyst | 2225 Sycamore Street, Suite 120, Harrisburg, PA 17111 | 2013-07-25 |
| 1427320688 | Joseph J Trautlein | Allergy & Immunology | 6450 Colchester Ave, Harrisburg, PA 17111 | 2012-02-03 |
| 1083983019 | Bonsall Manfredi & Assoc, P.C. | Psychiatry & Neurology | 2600 Woodlawn Street, Harrisburg, PA 17111 | 2011-12-20 |
| 1083920045 | Mh Medical LLC | Durable Medical Equipment & Medical Supplies | 7412 Derry Street, Harrisburg, PA 17111 | 2010-08-27 |
| Find all providers in zip 17111 | ||||
| Taxonomy Code | 261QR0405X |
| Grouping | Ambulatory Health Care Facilities |
| Classification | Clinic/Center |
| Specialization | Rehabilitation, Substance Use Disorder |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1861920936 | Colonial Park Intensive Outpatient Program, LLC | Clinic/Center | 55 S Progress Ave, Harrisburg, PA 17109-4623 | 2017-06-01 |
| 1942584032 | Nasr Consultant Group Incorporated | Clinic/Center | 1500 N 2nd St, Suite 23, Harrisburg, PA 17102-2528 | 2011-10-06 |
| 1659585461 | Gaudenzia Inc | Clinic/Center | 1728 N 2nd St, Harrisburg, PA 17102-2303 | 2007-05-10 |
| 1538387287 | Gaudenzia Inc | Clinic/Center | 128 East Azalea Drive, Green Bldg., Harrisburg, PA 17110 | 2007-04-20 |
| 1194840736 | Gaudenzia Inc | Clinic/Center | 124 East Azalea Drive, Anderson Hall, Harrisburg, PA 17110 | 2007-03-20 |
| 1306310370 | Pyramid Healthcare Inc | Clinic/Center | 8012 Bretz Dr, Harrisburg, PA 17112-9748 | 2019-01-14 |
| 1932629896 | Gaudenzia Inc | Clinic/Center | 2835 N Front St, Harrisburg, PA 17110-1222 | 2017-06-22 |
| 1689794695 | White Deer Run, Inc | Clinic/Center | 2001 N Front St, Suite 212, Harrisburg, PA 17102-2118 | 2007-03-31 |
| 1811011513 | Gaudenzia | Clinic/Center | 3740 Chambers Hill Rd, Harrisburg, PA 17111-1510 | 2007-03-19 |
| 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 | ||||
| City | HARRISBURG |
| Zip Code | 17111 |
Please comment or provide details below to improve the information on GAUDENZIA.
| 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.