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GAUDENZIA RE-ENTRY HOUSE
NPI 1083743975
Clinic/Center - Rehabilitation, Substance Use Disorder in Philadelphia, PA

Active since March 05, 2007
2100 W VENANGO ST, PHILADELPHIA, PA 19140(215) 438-5082(215) 438-4159 Get Directions Write a Review

NPPES record last updated: June 21, 2021. Verified against the NPPES registry weekly; last sync: August 23, 2026.

Record update history: Jun 21, 2021, Apr 29, 2021, Aug 22, 2020 (3 updates tracked since 2020).

About Gaudenzia Re-entry House NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

GAUDENZIA RE-ENTRY HOUSE (NPI 1083743975) is a healthcare organization registered as a rehabilitation, substance use disorder in Philadelphia, Pennsylvania and active in the NPI registry since March 2007. The organization lists Mike Williams, Sr. Contracting Manager, as its authorized official.

NPPES Registry Identity

NPI1083743975
Entity TypeOrganization
Primary Taxonomy261QR0405X
Legal Business NameGAUDENZIA INC
Location Address2100 W VENANGO STPhiladelphia, PA 19140-3937
Mailing Address106 W Main StNorristown, PA 19401-4716 · (610) 239-9600 · Fax (610) 275-7025
Phone(215) 438-5082
Fax(215) 438-4159
Organization SubpartNo
Authorized OfficialMike WilliamsSr. Contracting Manager · (484) 338-3731
Enumeration DateMarch 5, 2007
Last NPPES UpdateJune 21, 20213 updates tracked since enumeration
NPPES CertifiedJune 21, 2021
✔ NPI 1083743975 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyClinic/Center · Rehabilitation, Substance Use DisorderAmbulatory Health Care Facilities
Taxonomy Code261QR0405X
License✔ Licensed in PA · 807308
Also ListedCommunity/Behavioral HealthTaxonomy 251S00000X · License 807308 (PA)
2100 W VENANGO ST, Philadelphia, PA 19140
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Other Names 1

Other NameGaudenzia Re-entry House

Other Identifiers 2

Medicaid1002285890051PA
Medicaid1002285890052PA

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Ambetter from Buckeye Health Plan, Ambetter Health, Ambetter Health of Delaware.Insurance ›

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Gaudenzia Inc's NPI number?

The NPI number for Gaudenzia Inc is 1083743975. It was assigned to this organization in the NPPES registry on March 5, 2007. The provider is also known as Gaudenzia Re-Entry House.

Where is Gaudenzia Inc located?

Gaudenzia Inc is located at 2100 W Venango St, Philadelphia, PA 19140. The listed phone number is (215) 438-5082.

What is Gaudenzia Inc's specialty?

The primary specialty registered for this NPI is Clinic/Center, specializing in Rehabilitation, Substance Use Disorder, with taxonomy code 261QR0405X.

What insurance does Gaudenzia Inc accept?

Health plans from Ambetter Health, Ambetter Health of Delaware and Ambetter from Buckeye Health Plan list Gaudenzia Inc as in-network in at least one marketplace plan. Coverage varies by plan and year; verify with the insurer or the provider before a visit.

When was this NPI record last updated?

The NPPES record for Gaudenzia Inc was last updated on June 21, 2021. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 5 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.