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GAUDENZIA
NPI 1215256417
Substance Abuse Rehabilitation Facility in Baltimore, MD

Active since May 27, 2010
4615 PARK HEIGHTS AVE, BALTIMORE, MD 21215(443) 423-1500(443) 423-1495 Get Directions Write a Review

NPPES record last updated: June 24, 2021. Verified against the NPPES registry weekly; last sync: September 06, 2026.

About Gaudenzia NPPES

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

GAUDENZIA (NPI 1215256417) is a healthcare organization registered as a substance abuse rehabilitation facility in Baltimore, Maryland and active in the NPI registry since May 2010. The organization lists Mike Williams, Sr. Contracting Manager, as its authorized official.

NPPES Registry Identity

NPI1215256417
Entity TypeOrganization
Primary Taxonomy324500000X
Legal Business NameGAUDENZIA
Location Address4615 PARK HEIGHTS AVEBaltimore, MD 21215-6331
Mailing Address4615 Park Heights AveBaltimore, MD 21215-6331 · (443) 423-1500 · Fax (443) 423-1495
Phone(443) 423-1500
Fax(443) 423-1495
Organization SubpartNo
Authorized OfficialMike WilliamsSr. Contracting Manager · (484) 338-3731
Enumeration DateMay 27, 2010
Last NPPES UpdateJune 24, 2021
NPPES CertifiedJune 24, 2021
✔ NPI 1215256417 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtySubstance Abuse Rehabilitation FacilityResidential Treatment Facilities
Taxonomy Code324500000X
License✔ Licensed in MD · 903027
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.
Also ListedClinic/Center · Rehabilitation, Substance Use DisorderTaxonomy 261QR0405X · License 903027 (MD)
4615 PARK HEIGHTS AVE, Baltimore, MD 21215
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Other Identifiers 1

Medicaid405006100MD

Other Providers at the Same Location NPPES 7

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

OLUSEYI IGE OGUNDANA CRNP
Nurse Practitioner (Family)
4615 PARK HEIGHTS AVE
BALTIMORE, MD 21215
Baltimore City (240) 413-5721
GAUDENZIA INC
Substance Abuse Rehabilitation Facility
4615 PARK HEIGHTS AVE
BALTIMORE, MD 21215
Baltimore City (443) 423-1500
CHRISTIANA OLUWAKEMI OLAYERA-AKINBOYE NP
Nurse Practitioner (Psychiatric/Mental Health)
4615 PARK HEIGHTS AVE
BALTIMORE, MD 21215
Baltimore City (443) 423-1500
GAUDENZIA INC
Clinic/Center
4615 PARK HEIGHTS AVE
BALTIMORE, MD 21215
Baltimore City (443) 423-1500
GAUDENZIA.ORG
Substance Abuse Rehabilitation Facility
4615 PARK HEIGHTS AVE
BALTIMORE, MD 21215
Baltimore City (410) 367-4447
GAUDENZIA, INC.
Substance Abuse Rehabilitation Facility
4615 PARK HEIGHTS AVE
BALTIMORE, MD 21215
Baltimore City (443) 423-1500
GAUDENZIA, INC
Community/Behavioral Health
4615 PARK HEIGHTS AVE
BALTIMORE, MD 21215
Baltimore City (443) 423-1500

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's NPI number?

The NPI number for Gaudenzia is 1215256417. It was assigned to this organization in the NPPES registry on May 27, 2010.

Where is Gaudenzia located?

Gaudenzia is located at 4615 Park Heights Ave, Baltimore, MD 21215. The listed phone number is (443) 423-1500.

What is Gaudenzia'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 was last updated on June 24, 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.