1. Home
  2. Directory
  3. Maryland
  4. Glen Burnie
  5. Community Behavioral Health
  6. NPI Profile

GAUDENZIA GLEN BURNIE
NPI 1194455477
Community/Behavioral Health in Glen Burnie, MD

Active since June 10, 2022CLIA 21D2204816 · Waiver
5 CRAIN HWY N, GLEN BURNIE, MD 21061(443) 569-7950(410) 787-8380 Get Directions Write a Review

NPPES record last updated: September 26, 2022. Verified against the NPPES registry weekly; last sync: August 09, 2026.

Record update history: Sep 26, 2022, Jun 10, 2022 (2 updates tracked since 2022).

About Gaudenzia Glen Burnie NPPES

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

GAUDENZIA GLEN BURNIE (NPI 1194455477) is a healthcare organization registered as a community/behavioral health in Glen Burnie, Maryland and active in the NPI registry since June 2022. The organization holds a CLIA Waiver certificate valid through December 9, 2026 and lists Mike Williams, Sr. Contract Manager, as its authorized official.

NPPES Registry Identity

NPI1194455477
Entity TypeOrganization
Primary Taxonomy251S00000X
Legal Business NameGAUDENZIA, INC.
Location Address5 CRAIN HWY NGlen Burnie, MD 21061-2803
Mailing Address106 W Main StNorristown, PA 19401-4716 · (610) 239-9600 · Fax (610) 275-7022
Phone(443) 569-7950
Fax(410) 787-8380
Organization SubpartNo
Authorized OfficialMike WilliamsSr. Contract Manager · (484) 338-3731
Enumeration DateJune 10, 2022
Last NPPES UpdateSeptember 26, 20222 updates tracked since enumeration
NPPES CertifiedSeptember 26, 2022
✔ NPI 1194455477 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyCommunity/Behavioral HealthAgencies
Taxonomy Code251S00000X
Definition
A private or public agency usually under local government jurisdiction, responsible for assuring the delivery of community based mental health, intellectual disabilities, substance abuse and/or behavioral health services to individuals with those disabilities. Services may range from companion care, respite, transportation, community integration, crisis intervention and stabilization, supported employment, day support, prevocational services, residential support, therapeutic and supportive consultation, environmental modifications, intensive in-home therapy and day treatment, in addition to traditional mental health and behavioral treatment.
5 CRAIN HWY N, Glen Burnie, MD 21061
Open in Google Maps ↗

Other Names 1

Doing Business AsGaudenzia Glen Burnie

CLIA Laboratory Certificates CMS CLIA

Laboratory certificates issued under the Clinical Laboratory Improvement Amendments (CLIA) program, which sets federal quality standards for human laboratory testing in the United States. There is no official CMS crosswalk between CLIA and NPI numbers; these certificates are associated with this NPI by matching facility names, locations and phone numbers in the CMS CLIA registry.

Certificate of Waiver 21D2204816

Gaudenzia Inc Glen Burnie · Glen Burnie, MD
Active · expires Dec 9, 2026
CLIA Number21D2204816
Laboratory TypeResidential Tx
Certificate Effective DateDecember 10, 2024
Certificate Expiration DateDecember 9, 2026
Laboratory DirectorMary Lilly
Laboratory Phone(443) 681-0776
Laboratory LocationGaudenzia Inc Glen Burnie5 Crain Hwy N, Glen Burnie, MD 21061
CLIA data matches this NPI record on: Address Name
This certificate is issued to a laboratory to perform only waived tests.

Other Providers at the Same Location NPPES 4

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

ATLANTIC REHAB, INC
Clinic/Center (Physical Therapy)
5 CRAIN HWY N, SUITE 103
GLEN BURNIE, MD 21061
Anne Arundel County (410) 768-9500
MARK L. MILLER P.T.
Physical Therapist (Orthopedic)
5 CRAIN HWY N, SUITE 103
GLEN BURNIE, MD 21061
Anne Arundel County (410) 768-9500
DR. ROBERT D. DOWD P.T.
Physical Therapist (Orthopedic)
5 CRAIN HWY N, SUITE 103
GLEN BURNIE, MD 21061
Anne Arundel County (410) 768-9500
INCLUSIVE WELLNESS SERVICES INC.
Nurse Practitioner (Psychiatric/Mental Health)
5 CRAIN HWY N
GLEN BURNIE, MD 21061
Anne Arundel County (443) 952-3557

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 1194455477. It was assigned to this organization in the NPPES registry on June 10, 2022. The provider is doing business as Gaudenzia Glen Burnie.

Where is Gaudenzia, Inc. located?

Gaudenzia, Inc. is located at 5 Crain Hwy N, Glen Burnie, MD 21061. The listed phone number is (443) 569-7950.

What is Gaudenzia, Inc.'s specialty?

The primary specialty registered for this NPI is Community/Behavioral Health with taxonomy code 251S00000X.

Does Gaudenzia, Inc. hold a CLIA laboratory certificate?

Yes. A Certificate of Waiver (number 21D2204816) is associated with this NPI, valid through December 9, 2026. CLIA certificates authorize laboratory testing under the federal Clinical Laboratory Improvement Amendments program.

When was this NPI record last updated?

The NPPES record for Gaudenzia, Inc. was last updated on September 26, 2022. 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.