GAUDENZIA INC AT OWINGS MILLS
NPI 1265645493
Clinic/Center - Rehabilitation, Substance Use Disorder in Owings Mills, MD

NPI Status: Active since May 07, 2007

Contact Information

10225 JENSEN LN
OWINGS MILLS, MD
ZIP 21117
Phone: (410) 887-1503
Fax: (410) 887-1522

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  • Organization
  • Clinic/Center
  • Rehabilitation, Substance Use Disorder
  • CLIA Number: 21D2204828
  • CLIA Cert. Type: Other - RESIDENTIAL TX
  • CLIA Exp. Date: 12-09-2026

About GAUDENZIA INC AT OWINGS MILLS

This page provides the complete NPI Profile along with additional information for Gaudenzia Inc At Owings Mills, a provider established in Owings Mills, Maryland operating as a Clinic/center, focusing in rehabilitation, substance use disorder . The healthcare provider is registered in the NPI registry with number 1265645493 assigned on May 2007. The practitioner's primary taxonomy code is 261QR0405X with license number 903014 (MD). The provider is registered as an organization and their NPI record was last updated 5 years ago. The provider's other name is Gaudenzia Inc At Owings Mills. The authorized official of this NPI record is Mike Williams (Sr. Contracting Manager)

NPI
1265645493
Provider Legal Name
GAUDENZIA INC
Other Organization Name
GAUDENZIA INC AT OWINGS MILLS
Other Name Type
Other Name (5)
Entity Type
Organization
Location Address
10225 JENSEN LN OWINGS MILLS, MD 21117
Location Phone
(410) 887-1503
Location Fax
(410) 887-1522
Mailing Address
106 W MAIN ST NORRISTOWN, PA 19401
Mailing Phone
(610) 239-9600
Mailing Fax
(410) 887-1522
Is Sole Proprietor?
No
Is Organization Subpart?
No
Enumeration Date
05-07-2007
Last Update Date
06-24-2021
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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

Clinic/Center Rehabilitation, Substance Use Disorder

Taxonomy Code
261QR0405X
Type
Ambulatory Health Care Facilities
License No.
903014
License State
MD

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. CONTRACTING 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
21D2204828
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 Inc At Owings Mills 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 1265645493, we treat the final digit (3) 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 57. The final step is to find the difference between that total and the next multiple of ten (60 - 57 = 3).

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
2
Unchanged
Pos 3
6
Doubled → 12 → 1 + 2
Pos 4
5
Unchanged
Pos 5
6
Doubled → 12 → 1 + 2
Pos 6
4
Unchanged
Pos 7
5
Doubled → 10 → 1 + 0
Pos 8
4
Unchanged
Pos 9
9
Doubled → 18 → 1 + 8
Check
3
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 6 → 12 → 3 6 → 12 → 3 5 → 10 → 1 9 → 18 → 9

Step 2: Add all digits plus the NPI constant

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

2 + 2 + 1 + 2 + 5 + 1 + 2 + 4 + 1 + 0 + 4 + 1 + 8 + 24 = 57

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

The next multiple of ten after 57 is 60. The difference is the calculated check digit.

60 - 57 = 3
This NPI is valid
The calculated check digit is 3, which matches the last digit of 1265645493.

Other Providers at the Same Location


The following 1 provider is registered at the same or a nearby location.

Clinic/Center (Rehabilitation, Substance Use Disorder)
10225 JENSEN LN
OWINGS MILLS, MD 21117

Frequently Asked Questions

The NPI number assigned to this healthcare provider is 1265645493, enumerated as an "organization" on May 07, 2007.

The provider is located at 10225 JENSEN LN OWINGS MILLS, MD 21117 and the phone number is (410) 887-1503.

Clinic/Center with taxonomy code 261QR0405X and a focus in Rehabilitation, Substance Use Disorder.