GAUDENZIA FAMILY CENTER
NPI 1093235962
Substance Abuse Rehabilitation Facility in Baltimore, MD

Q: What is Gaudenzia Inc's NPI number?

The NPI number for Gaudenzia Inc is 1093235962. It was assigned to this organization in the NPPES registry on June 22, 2017. The provider is also known as Gaudenzia Family Center.

Q: What is Gaudenzia Inc's specialty?

The primary specialty registered for this NPI is Substance Abuse Rehabilitation Facility with taxonomy code 324500000X.

Q: When was this NPI record last updated?

The NPPES record for Gaudenzia Inc was last updated on February 13, 2023. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 3 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.

Active since June 22, 2017

4613 PARK HEIGHTS AVE, BALTIMORE, MD 21215(410) 779-4071(410) 664-0954 Get Directions Write a Review

NPPES record last updated: February 13, 2023. Verified against the NPPES registry weekly; last sync: August 16, 2026.

Record update history: Feb 13, 2023, Jun 24, 2021, Jun 22, 2017 (3 updates tracked since 2017).

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About Gaudenzia Family Center NPPES

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

GAUDENZIA FAMILY CENTER (NPI 1093235962) is a healthcare organization registered as a substance abuse rehabilitation facility in Baltimore, Maryland and active in the NPI registry since June 2017. The organization lists Youthful Edrington, Credential Coordinator, as its authorized official.

NPPES Registry Identity

NPI1093235962

Entity TypeOrganization

Primary Taxonomy324500000X

Legal Business NameGAUDENZIA INC

Location Address4613 PARK HEIGHTS AVEBaltimore, MD 21215-6339

Mailing Address106 W Main StNorristown, PA 19401-4716 · (610) 239-9600 · Fax (610) 275-7025

Phone(410) 779-4071

Fax(410) 664-0954

Organization SubpartNo

Authorized OfficialYouthful EdringtonCredential Coordinator · (717) 980-1519

Enumeration DateJune 22, 2017

Last NPPES UpdateFebruary 13, 20233 updates tracked since enumeration

NPPES CertifiedFebruary 13, 2023

✔ NPI 1093235962 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtySubstance Abuse Rehabilitation FacilityResidential Treatment Facilities

Taxonomy Code324500000X

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.

4613 PARK HEIGHTS AVE, Baltimore, MD 21215

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Other Names 1

Other NameGaudenzia Family Center

Other Providers at the Same Location NPPES

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

GAUDENZIA, INC.

Substance Abuse Rehabilitation Facility

4613 PARK HEIGHTS AVE
BALTIMORE, MD 21215

Baltimore City (410) 779-4071

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 1093235962. It was assigned to this organization in the NPPES registry on June 22, 2017. The provider is also known as Gaudenzia Family Center.

Where is Gaudenzia Inc located?

Gaudenzia Inc is located at 4613 Park Heights Ave, Baltimore, MD 21215. The listed phone number is (410) 779-4071.

What is Gaudenzia Inc's specialty?

The primary specialty registered for this NPI is Substance Abuse Rehabilitation Facility with taxonomy code 324500000X.

When was this NPI record last updated?

The NPPES record for Gaudenzia Inc was last updated on February 13, 2023. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 3 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.