Gaudenzia At Park Heights
LBN: Gaudenzia Inc
Gaudenzia At Park Heights is an health care organization with primary practice located at 4615 Park Heights Ave , Baltimore MD 21215-6331. The organization recently has 2 registered licenses in different health care specialties including Ambulatory Health Care Facilities / Clinic/Center, Ambulatory Health Care Facilities / Rehabilitation, Substance Use Disorder. Ambulatory Health Care Facilities / Clinic/Center is the primary health care specialty.
Gaudenzia Inc can be contacted via phone (443) 423-1500, or through Williams, Mike via phone (484) 338-3731.
Contact Information
Primary practice address
4615 Park Heights Ave
Baltimore MD 21215-6331
Phone: (443) 423-1500
Fax: (443) 423-1495
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Ambulatory Health Care Facilities / Clinic/Center | 261Q00000X | 10478 | Maryland |
| Ambulatory Health Care Facilities / Rehabilitation, Substance Use Disorder | 261QR0405X | 12536 | Maryland |
Profile Details
| NPI number | 1366656175 |
|---|---|
| LBN Legal business name | Gaudenzia Inc |
| DBA Doing business as | Gaudenzia At Park Heights |
| Authorized official | Williams, Mike |
| Entity | Organization |
| Organization subpart 1 | No |
| Enumeration date | May 10th, 2007 |
| Last updated | Jun 24th, 2021 - about 4 years ago |
1 Some organizations, which are providing health care services, may consist of units or departments that provide different types of health care services or have several separate physical locations, where health care service is provided. These units, departments or physical locations are not themselves legal entities. However, each of them is part of the organization, which is a legal entity. The organization may decide whether its subparts, if it has any, should have their own NPI numbers. In case a subpart conducts any HIPAA standard transactions by itself, without its parent's involvement, it must have its own NPI number.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1366656175 | NPPES |
| Maryland | MEDICAID | 4171233 00 |
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