NPIMap

Organization Active NPI

Gaudenzia, Inc.

  • Substance Abuse Rehabilitation Facility
  • Crownsville, MD
National Provider Identifier
1750755351
Registry record updated Nov 22, 2016
On this page

Key facts

NPPES NPI Registry
Primary specialty
Substance Abuse Rehabilitation FacilityTaxonomy code 324500000X
Legal business name
GAUDENZIA, INC.
Doing business as
Gaudenzia - Crownsville
Practice address
107 Circle Dr
Crownsville, MD 21032-2061
Phone
(410) 474-8416
NPI assigned
Nov 19, 2015
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Nov 22, 2016

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name
Ms. Chandra McNeil-Johnson
Title
Regional Finance Manager
Phone
(410) 864-0674

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Substance Abuse Rehabilitation Facility 324500000X Primary

Addresses

Primary practice location

107 Circle Dr
Crownsville, MD 21032-2061

Mailing address

107 Circle Dr
Crownsville, MD 21032-2061
Phone (443) 598-6900

Other names 1

  • Gaudenzia - Crownsville Doing business as

National Provider Directory

National Provider Directory
Tax ID family
Gaudenzia77 organizations share this tax ID, including this one

Organizations with this tax ID in the same state 16

This tax ID family is large, so up to 24 of its organizations in the same state are linked here.

View all 16

Locations

107 Circle Dr
Crownsville, MD 21032
Phone (443) 598-6900

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1447891200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1479772800000",
    "number": "1750755351",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "107 CIRCLE DR",
            "city": "CROWNSVILLE",
            "state": "MD",
            "postal_code": "210322061",
            "telephone_number": "443-598-6900",
            "fax_number": "410-923-6781"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "107 CIRCLE DR",
            "city": "CROWNSVILLE",
            "state": "MD",
            "postal_code": "210322061",
            "telephone_number": "410-474-8416"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "GAUDENZIA, INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2015-11-19",
        "last_updated": "2016-11-22",
        "status": "A",
        "authorized_official_last_name": "MCNEIL-JOHNSON",
        "authorized_official_first_name": "CHANDRA",
        "authorized_official_title_or_position": "REGIONAL FINANCE MANAGER",
        "authorized_official_telephone_number": "410-864-0674",
        "authorized_official_name_prefix": "Ms."
    },
    "taxonomies": [
        {
            "code": "324500000X",
            "taxonomy_group": "",
            "desc": "Substance Abuse Rehabilitation Facility",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Gaudenzia - Crownsville",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Crownsville, MD

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 22, 2016; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.