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

NPI Status: Active since June 10, 2022

Contact Information

5 CRAIN HWY N
GLEN BURNIE, MD
ZIP 21061
Phone: (443) 569-7950
Fax: (410) 787-8380

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  • Organization
  • Community/Behavioral Health
  • CLIA Number: 21D2204816
  • CLIA Cert. Type: Other - RESIDENTIAL TX
  • CLIA Exp. Date: 12-09-2026

About GAUDENZIA GLEN BURNIE

This page provides the complete NPI Profile along with additional information for Gaudenzia Glen Burnie, a provider established in Glen Burnie, Maryland operating as a Community/behavioral Health. The healthcare provider is registered in the NPI registry with number 1194455477 assigned on June 2022. The practitioner's primary taxonomy code is 251S00000X. The provider is registered as an organization and their NPI record was last updated 4 years ago. The provider's is doing business as Gaudenzia Glen Burnie. The authorized official of this NPI record is Mike Williams (Sr. Contract Manager)

NPI
1194455477
Provider Legal Name
GAUDENZIA, INC.
Other Organization Name
GAUDENZIA GLEN BURNIE
Other Name Type
Doing Business As (3)
Entity Type
Organization
Location Address
5 CRAIN HWY N GLEN BURNIE, MD 21061
Location Phone
(443) 569-7950
Location Fax
(410) 787-8380
Mailing Address
106 W MAIN ST NORRISTOWN, PA 19401
Mailing Phone
(610) 239-9600
Mailing Fax
(410) 787-8380
Is Sole Proprietor?
No
Is Organization Subpart?
No
Enumeration Date
06-10-2022
Last Update Date
09-26-2022
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Specialty - Primary Taxonomy

The NPI enumerator requires providers to submit at least one taxonomy code. A taxonomy code is a unique 10-character code that describes the healthcare provider type, classification, and the area of specialization. There could be only one primary taxonomy code per NPI record. For individual NPIs the license data is associated to the taxonomy code.

Classification

Community/Behavioral Health

Taxonomy Code
251S00000X
Type
Agencies
Taxonomy Description
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.

Authorized Official

The authorized official is the designated individual with the legal authority to make changes to the provider’s official NPI record. For organizations, the authorized official must be a general partner, chairman of the board, CEO, CFO or a direct owner holding at least a 5 percent stake in the medical organization.

Authorized Official Name

MIKE WILLIAMS

Authorized Official Title
SR. CONTRACT MANAGER
Authorized Official Phone
(484) 338-3731

CLIA Information

The Clinical Laboratory Improvement Amendments (CLIA) of 1988 applies to facilities or sites that test human specimens for health assessment or to diagnose, prevent, or treat disease. The CLIA Program sets standards for clinical laboratory testing and issues certificates. The NPI / CLIA crosswalk information for this NPI number is:

CLIA Number
21D2204816
Facility Type
Other - RESIDENTIAL TX
Certificate Effective Date
December 10, 2024
Certificate Expiration Date
December 09, 2026
Laboratory Director
MARY LILLY
Certificate Type
Certificate of Waiver
Certificate Type Description
This CLIA certificate is issued to Gaudenzia Glen Burnie to perform only waived tests. CLIA defines waived tests as simple tests with a low risk for an incorrect result. Waived tests include certain tests listed in CLIA regulations, tests cleared by the FDA for home use and tests approved by the FDA for waived status and that meet CLIA waiver criteria.

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NPI NPI Number Validation

How NPI Validation Works

The NPI validation process uses the ISO-standard Luhn algorithm, a mathematical "handshake", to ensure that a provider's 10-digit ID is authentic and free of common typing errors.

To verify the NPI 1194455477, we treat the final digit (7) as the Check Digit—the target answer we need to reach. The process begins by taking the first nine digits and adding a constant value of 24, which accounts for the "80840" prefix required for all U.S. health identifiers. We then double every other digit starting from the right and sum the individual digits of those results together. For this specific NPI, that total comes to 63. The final step is to find the difference between that total and the next multiple of ten (70 - 63 = 7).

Digit-by-digit view

Use the first nine digits for the calculation. Starting from the right, double every other digit. The last digit is the check digit and is not part of the calculation.

Pos 1
1
Doubled → 2
Pos 2
1
Unchanged
Pos 3
9
Doubled → 18 → 1 + 8
Pos 4
4
Unchanged
Pos 5
4
Doubled → 8
Pos 6
5
Unchanged
Pos 7
5
Doubled → 10 → 1 + 0
Pos 8
4
Unchanged
Pos 9
7
Doubled → 14 → 1 + 4
Check
7
Target digit
Regular digit Doubled digit Check digit

Step 1: Double every other digit from the right

Starting with the rightmost digit of the first nine digits, double every other value. If doubling creates a two-digit number, add those digits together.

1 → 2 9 → 18 → 9 4 → 8 5 → 10 → 1 7 → 14 → 5

Step 2: Add all digits plus the NPI constant

Add the transformed values, the unchanged digits, and the constant 24.

2 + 1 + 1 + 8 + 4 + 8 + 5 + 1 + 0 + 4 + 1 + 4 + 24 = 63

Step 3: Find the amount needed to reach the next multiple of 10

The next multiple of ten after 63 is 70. The difference is the calculated check digit.

70 - 63 = 7
This NPI is valid
The calculated check digit is 7, which matches the last digit of 1194455477.

Other Providers at the Same Location


The following 4 providers are registered at the same or a nearby location.

Physical Therapist (Orthopedic)
5 CRAIN HWY N, SUITE 103
GLEN BURNIE, MD 21061
Physical Therapist (Orthopedic)
5 CRAIN HWY N, SUITE 103
GLEN BURNIE, MD 21061
Clinic/Center (Physical Therapy)
5 CRAIN HWY N, SUITE 103
GLEN BURNIE, MD 21061
Nurse Practitioner (Psychiatric/Mental Health)
5 CRAIN HWY N
GLEN BURNIE, MD 21061

Frequently Asked Questions

The NPI number assigned to this healthcare provider is 1194455477, enumerated as an "organization" on June 10, 2022.

The provider is located at 5 CRAIN HWY N GLEN BURNIE, MD 21061 and the phone number is (443) 569-7950.

Community/Behavioral Health with taxonomy code 251S00000X.