NPIMap

Organization Active NPI

Gaudenzia, Inc.

  • Substance Use Disorder Rehabilitation Clinic/Center
  • Crownsville, MD
National Provider Identifier
1972061497
Registry record updated Mar 4, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
Substance Use Disorder Rehabilitation Clinic/CenterTaxonomy code 261QR0405X
Legal business name
GAUDENZIA, INC.
Doing business as
Gaudenzia Crownsville HWH Womenns
Practice address
105 Circle Drive
Crownsville, MD 21032-2061
Phone
(443) 598-6900
Fax
(443) 923-6781
NPI assigned
Mar 4, 2019
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Mar 4, 2019

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

Authorized official

Name
Mr. Michael J Coyle, CPA
Title
Director Accounting & Finance
Phone
(610) 239-9600

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Substance Use Disorder Rehabilitation Clinic/Center 261QR0405X Primary

Addresses

Primary practice location

105 Circle Drive
Crownsville, MD 21032-2061

Mailing address

106 W Main St
Norristown, PA 19401-4716
Phone (610) 239-9600

Other names 1

  • Gaudenzia Crownsville HWH Womenns 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 12

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

NPI Registry JSON

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

{
    "created_epoch": "1551657600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1551657600000",
    "number": "1972061497",
    "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"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "105 CIRCLE DRIVE",
            "city": "CROWNSVILLE",
            "state": "MD",
            "postal_code": "210322061",
            "telephone_number": "443-598-6900",
            "fax_number": "443-923-6781"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "GAUDENZIA, INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2019-03-04",
        "last_updated": "2019-03-04",
        "status": "A",
        "authorized_official_last_name": "COYLE",
        "authorized_official_first_name": "MICHAEL",
        "authorized_official_middle_name": "J",
        "authorized_official_title_or_position": "DIRECTOR ACCOUNTING & FINANCE",
        "authorized_official_telephone_number": "610-239-9600",
        "authorized_official_name_prefix": "Mr.",
        "authorized_official_credential": "CPA"
    },
    "taxonomies": [
        {
            "code": "261QR0405X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Rehabilitation, Substance Use Disorder",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Gaudenzia Crownsville HWH Womenns",
            "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 Mar 4, 2019; 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.