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GAUDENZIA INC NPI 1922180652


NPI Information

NPI: 1922180652
Provider Name: GAUDENZIA INC
Classification: Community/Behavioral Health - 251S00000X
Entity Type: Organization

CLIA Number: 39D0925926

Address:
414 W 5TH ST
ERIE, PA
ZIP 16507
Phone: (814) 459-4775
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GAUDENZIA INC is a community behavioral health in Erie, PA. The provider is a private or public agency usually under local government jurisdiction, responsible for assuring the delivery of community based mental health, intellectual disabilities, substance abuse and/or behavioral health services to individuals with those disabilities. Services may range from companion care, respite, transportation, community integration, crisis intervention and stabilization, supported employment, day support, prevocational services, residential support, therapeutic and supportive consultation, environmental modifications, intensive in-home therapy and day treatment, in addition to traditional mental health and behavioral treatment. GAUDENZIA INC NPI is 1922180652. The provider is registered as an organization entity type.

The provider's business location address is:

414 W 5TH ST
ERIE, PA
ZIP 16507-214
Phone: (814) 459-4775
Fax: (814) 453-6118

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

The CLIA number assigned to this NPI record is 39D0925926 - other with a certificate type of Certificate of Waiver.

The enumeration date for this NPI number is 10/20/2006 and was last updated on 10/30/2023.


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 CodeTaxonomy ClasificationTaxonomy SpecializationLicense NumberLicense StatePrimary
1324500000XSubstance Abuse Rehabilitation Facility251086PENNSYLVANIANo
2324500000XSubstance Abuse Rehabilitation Facility257046PENNSYLVANIANo
3324500000XSubstance Abuse Rehabilitation Facility257048PENNSYLVANIANo
4324500000XSubstance Abuse Rehabilitation Facility257079PENNSYLVANIANo
5324500000XSubstance Abuse Rehabilitation Facility257080PENNSYLVANIANo
6324500000XSubstance Abuse Rehabilitation Facility257081PENNSYLVANIANo
7324500000XSubstance Abuse Rehabilitation Facility257082PENNSYLVANIANo
8324500000XSubstance Abuse Rehabilitation Facility257083PENNSYLVANIANo
9324500000XSubstance Abuse Rehabilitation Facility437029PENNSYLVANIANo
10251S00000XCommunity/Behavioral HealthYes

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 IdentifierOther Provider Identifier TypeOther Provider Identifier StateOther Provider Identifier Issuer
10815OTHERPENNSYLVANIABLUE CROSS BLUE SHEILD
2459802OTHERPENNSYLVANIAVALUE OPTIONS
3VO543BOTHERPENNSYLVANIAUPMC
40018923880001MEDICAIDPENNSYLVANIA
51018307530003MEDICAIDPENNSYLVANIA
660054OTHERPENNSYLVANIAAETNA
70018923880001OTHERPENNSYLVANIACCBHO

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: 4/28/2024

All materials and services on this site are provided on an "as is" and "as available" basis without warranty of any kind. The NPI record is maintained by the National Plan & Provider Enumeration System (NPPES) and anyone may request this information and other NPPES health care provider data from HHS under The Freedom of Information Act (FOIA), Title 5 of the United States Code, section 552. To update the NPI records please contact the NPPES.