Gaudenzia Inc in Erie - Substance Abuse Rehabilitation Facility
Gaudenzia Inc - NPI 1922180652
Gaudenzia Inc is a Substance Abuse Rehabilitation Facility in Erie, Pennsylvania. Gaudenzia Inc practices all healthcare services and medical treatments related to Substance Abuse Rehabilitation Facility. The NPI Number for Gaudenzia Inc is 1922180652. The last update date is 2023-10-30.
Gaudenzia Inc's current location address is 414 W 5th St, Erie, Pennsylvania. You can contact this provider via phone number 8144594775 and fax number 8144536118. The mailing address for Gaudenzia Inc is 414 W 5th St, Erie, Pennsylvania. To know further, please read the information below!
Provider Profile Detail
| Provider Organization | Gaudenzia Inc |
|---|---|
| Address | 414 W 5th St, Erie, Pennsylvania |
| Phone Number | 8144594775 |
| Fax Number | 8144536118 |
| Sole Proprietor | -- |
| Credentials | -- |
Authorized Official
| Title or Position | SR. CONTRA |
|---|---|
| Authorized Official Name | Williams Mike |
| Telephone Number | 4843383731 |
NPI Number Detail
| NPI Number | 1922180652 |
|---|---|
| Provider Enumeration Date | 2006-10-20 |
| Last Updated Date | 2023-10-30 |
Provider Mailing Address Detail
| Address | 414 W 5th St |
|---|---|
| City | Erie |
| State | Pennsylvania (PA) |
| Post Code | 165071214 |
| Phone Number | 8144594775 |
| Fax Number | 8144536118 |
Provider's Primary Taxonomy Detail
| Speciality | Substance Abuse Rehabilitation Facility |
|---|---|
| Taxonomy | 324500000X |
| Licence No | 251086 |
|
Definition: A facility or distinct part of a facility that provides a 24 hr therapeutically planned living and rehabilitative intervention environment for the treatment of individuals with disorders in the abuse of drugs, alcohol, and other substances. |
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Provider's Other Legacy Identifiers
| Identifier | Identifier Type | Identifier State | Identifier Issuer |
|---|---|---|---|
| 815 | PA | BLUE CROSS BLUE SHEILD | |
| 459802 | PA | VALUE OPTIONS | |
| VO543B | PA | UPMC | |
| 18923880001 | PA | -- | |
| 1018307530003 | PA | -- | |
| 60054 | PA | AETNA | |
| 18923880001 | PA | CCBHO |
Post Comment/ Review Below
What is the unique 10-digit identification code assigned to Gaudenzia Inc by the Centers for Medicare & Medicaid Services?
The Gaudenzia Inc has been issued the NPI (National Provider Identifier) 1922180652, which serves as a unique identifier for healthcare providers, assigned by the Centers for Medicare & Medicaid Services (CMS).
Could you kindly provide the complete physical address where Gaudenzia Inc's facilities are geographically located?
The facilities of Gaudenzia Inc are physically situated at the following location: 414 W 5Th St, Erie, PA, 165071214.
What is the area of specialization for Gaudenzia Inc, and what is the corresponding taxonomy classification code for this field?
The specialized field of practice for Gaudenzia Inc is Substance Abuse Rehabilitation Facility, and the corresponding taxonomy code that categorizes this area of expertise is 324500000X.
On what date did the Centers for Medicare & Medicaid Services originally issue the 1922180652 to Gaudenzia Inc?
The Centers for Medicare & Medicaid Services originally issued the 1922180652 to Gaudenzia Inc on 2006-10-20.
As of what date were the details related to Gaudenzia Inc most recently updated or revised?
The information pertaining to Gaudenzia Inc, including its address, specialty, and other relevant details, was last updated or revised on 2023-10-30.
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