Active NPI
Gaudenzia, Inc.
- Substance Use Disorder Rehabilitation Clinic/Center
- Wilmington, DE
National Provider Identifier
1609525898
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Substance Use Disorder Rehabilitation Clinic/Center
- Legal business name
- GAUDENZIA, INC.
- Practice address
- 604 W 10TH St
Wilmington, DE 19801-1424 - Phone
- (302) 737-4100
- Fax
- (302) 656-1294
- NPI assigned
- Mar 23, 2022
- Last updated
- Mar 23, 2022
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Mike Williams
- Title
- Senior Contracting Manager
- Phone
- (484) 338-3731
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Substance Use Disorder Rehabilitation Clinic/Center | 261QR0405X | NU | Primary |
Addresses
Primary practice location
604 W 10TH St
Wilmington, DE 19801-1424
Mailing address
106 W Main St
Norristown, PA 19401-4716
Phone (610) 239-9600
National Provider Directory
National Provider Directory- Tax ID family
- Gaudenzia
Organizations with this tax ID in the same state 4
This tax ID family is large, so up to 24 of its organizations in the same state are linked here.
-
- Mental Health Clinic/Center (Including Community Mental Health Center)
- Wilmington, DE
- NPI 1073768123
-
dba Gaudenzia Vision of Hope
- Substance Use Disorder Rehabilitation Clinic/Center
- Ellendale, DE
- NPI 1376103556
-
- Adult Mental Health Clinic/Center
- Claymont, DE
- NPI 1942732268
-
- Substance Use Disorder Rehabilitation Clinic/Center
- Claymont, DE
- NPI 1134536113
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1647993600000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1647993600000",
"number": "1609525898",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "106 W MAIN ST",
"city": "NORRISTOWN",
"state": "PA",
"postal_code": "194014716",
"telephone_number": "610-239-9600",
"fax_number": "610-275-7022"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "604 W 10TH ST",
"city": "WILMINGTON",
"state": "DE",
"postal_code": "198011424",
"telephone_number": "302-737-4100",
"fax_number": "302-656-1294"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "GAUDENZIA, INC.",
"organizational_subpart": "NO",
"enumeration_date": "2022-03-23",
"last_updated": "2022-03-23",
"certification_date": "2022-03-09",
"status": "A",
"authorized_official_last_name": "WILLIAMS",
"authorized_official_first_name": "MIKE",
"authorized_official_title_or_position": "SENIOR CONTRACTING MANAGER",
"authorized_official_telephone_number": "484-338-3731"
},
"taxonomies": [
{
"code": "261QR0405X",
"taxonomy_group": "",
"desc": "Clinic/Center, Rehabilitation, Substance Use Disorder",
"state": "NU",
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Wilmington, DE
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 23, 2022; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.