Gaudenzia Inc

LBN: Gaudenzia Inc
Gaudenzia Inc is an health care organization with primary practice located at 414 W 5Th St , Erie PA 16507-1214. The organization recently has 2 registered licenses in different health care specialties including Agencies / Community/Behavioral Health, Residential Treatment Facilities / Substance Abuse Rehabilitation Facility. Agencies / Community/Behavioral Health is the primary health care specialty. Gaudenzia Inc can be contacted via phone (814) 459-4775, or through Williams, Mike via phone (484) 338-3731.

Contact Information

Primary practice address
414 W 5Th St Erie PA 16507-1214
Phone: (814) 459-4775
Fax: (814) 453-6118
Website:
Map and Directions
Authorized official contact:
Name: Williams, Mike
Phone: (484) 338-3731

Health care specialties

SpecialtyCodeLicense #State
Agencies / Community/Behavioral Health 251S00000X
Residential Treatment Facilities / Substance Abuse Rehabilitation Facility 324500000X 251086 Pennsylvania
Residential Treatment Facilities / Substance Abuse Rehabilitation Facility 324500000X 257046 Pennsylvania
Residential Treatment Facilities / Substance Abuse Rehabilitation Facility 324500000X 257048 Pennsylvania
Residential Treatment Facilities / Substance Abuse Rehabilitation Facility 324500000X 257079 Pennsylvania
Residential Treatment Facilities / Substance Abuse Rehabilitation Facility 324500000X 257080 Pennsylvania
Residential Treatment Facilities / Substance Abuse Rehabilitation Facility 324500000X 257081 Pennsylvania
Residential Treatment Facilities / Substance Abuse Rehabilitation Facility 324500000X 257082 Pennsylvania
Residential Treatment Facilities / Substance Abuse Rehabilitation Facility 324500000X 257083 Pennsylvania
Residential Treatment Facilities / Substance Abuse Rehabilitation Facility 324500000X 437029 Pennsylvania

Profile Details

NPI number 1922180652
LBN Legal business name Gaudenzia Inc
DBA Doing business as
Authorized official Williams, Mike
Entity Organization
Organization subpart 1 No
Enumeration date Oct 20th, 2006
Last updated Oct 30th, 2023 - about last year

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.

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Identifiers

StateTypeNumberIssuer
All States NPI 1922180652 NPPES
Pennsylvania Other 0815 BLUE CROSS BLUE SHEILD
Pennsylvania Other 459802 BLUE CROSS BLUE SHEILD
Pennsylvania Other VO543B BLUE CROSS BLUE SHEILD
Pennsylvania MEDICAID 0018923880001 BLUE CROSS BLUE SHEILD
Pennsylvania MEDICAID 1018307530003 BLUE CROSS BLUE SHEILD
Pennsylvania Other 60054 BLUE CROSS BLUE SHEILD
Pennsylvania Other 0018923880001 BLUE CROSS BLUE SHEILD

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