GAUDENZIA INC NPI 1194840736

NPI Information

  • NPI: 1194840736
  • Provider Name: GAUDENZIA INC
  • Classification: Clinic/Center - 261QR0405X
  • Specialization: Rehabilitation, Substance Use Disorder
  • Entity Type: Organization
  • Other Name: GAUDENZIA CONCEPT 90
  • Address: 124 EAST AZALEA DRIVE
    ANDERSON HALL
    HARRISBURG, PA
    ZIP 17110
  • Phone: (717) 232-3232

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NPI Details

GAUDENZIA INC is a rehabilitation and substance use disorder clinic center in Harrisburg, PA. GAUDENZIA INC NPI is 1194840736. The provider is registered as an organization entity type.
The provider Other Name Is Gaudenzia Concept 90.

The provider's business location address is:

124 EAST AZALEA DRIVE
ANDERSON HALL
HARRISBURG, PA
ZIP 17110
Phone: (717) 232-3232
Fax: (717) 236-6833

The provider's authorized official is Mike Williams .
The authorized official title is Senior Contracting Manager and has the following contact phone number (484) 338-3731.

The enumeration date for this NPI number is 3/20/2007 and was last updated on 5/5/2022.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No. Taxonomy Code Taxonomy Clasification Taxonomy Specialization License Number License State Primary
1261QR0405XClinic/CenterRehabilitation, Substance Use Disorder221159PENNSYLVANIAYes

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No. Other Provider Identifier Other Provider Identifier Type Other Provider Identifier State Other Provider Identifier Issuer
11002285890037MEDICAIDPENNSYLVANIA
21002285890038MEDICAIDPENNSYLVANIA

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 11/21/2025

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