1. Home
  2. Directory
  3. Maryland
  4. Owings Mills
  5. Clinic Center
  6. NPI Profile

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

Active since May 07, 2007CLIA 21D2204828 · Waiver
10225 JENSEN LN, OWINGS MILLS, MD 21117(410) 887-1503(410) 887-1522 Get Directions Write a Review

NPPES record last updated: June 24, 2021. Verified against the NPPES registry weekly; last sync: August 02, 2026.

Record update history: Jun 24, 2021, Apr 26, 2021, Aug 22, 2020 (3 updates tracked since 2020).

About Gaudenzia Inc At Owings Mills NPPES

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

GAUDENZIA INC AT OWINGS MILLS (NPI 1265645493) is a healthcare organization registered as a rehabilitation, substance use disorder in Owings Mills, Maryland and active in the NPI registry since May 2007. The organization holds a CLIA Waiver certificate valid through December 9, 2026 and lists Mike Williams, Sr. Contracting Manager, as its authorized official.

NPPES Registry Identity

NPI1265645493
Entity TypeOrganization
Primary Taxonomy261QR0405X
Legal Business NameGAUDENZIA INC
Location Address10225 JENSEN LNOwings Mills, MD 21117-3700
Mailing Address106 W Main StNorristown, PA 19401-4716 · (610) 239-9600 · Fax (610) 275-7025
Phone(410) 887-1503
Fax(410) 887-1522
Organization SubpartNo
Authorized OfficialMike WilliamsSr. Contracting Manager · (484) 338-3731
Enumeration DateMay 7, 2007
Last NPPES UpdateJune 24, 20213 updates tracked since enumeration
NPPES CertifiedJune 24, 2021
✔ NPI 1265645493 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyClinic/Center · Rehabilitation, Substance Use DisorderAmbulatory Health Care Facilities
Taxonomy Code261QR0405X
License✔ Licensed in MD · 903014
10225 JENSEN LN, Owings Mills, MD 21117
Open in Google Maps ↗

Other Names 1

Other NameGaudenzia Inc At Owings Mills

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 21D2204828

Gaudenzia Inc Owings Mills · Owings Mills, MD
Active · expires Dec 9, 2026
CLIA Number21D2204828
Laboratory TypeResidential Tx
Certificate Effective DateDecember 10, 2024
Certificate Expiration DateDecember 9, 2026
Laboratory DirectorMary Lilly
Laboratory Phone(443) 681-0776
Laboratory LocationGaudenzia Inc Owings Mills10225 Jensen Lane, Owings Mills, MD 21117
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

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

GAUDENZIA, INC
Clinic/Center (Rehabilitation, Substance Use Disorder)
10225 JENSEN LN
OWINGS MILLS, MD 21117
Baltimore County (410) 887-1503

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 1265645493. It was assigned to this organization in the NPPES registry on May 7, 2007. The provider is also known as Gaudenzia Inc At Owings Mills.

Where is Gaudenzia Inc located?

Gaudenzia Inc is located at 10225 Jensen Ln, Owings Mills, MD 21117. The listed phone number is (410) 887-1503.

What is Gaudenzia Inc's specialty?

The primary specialty registered for this NPI is Clinic/Center, specializing in Rehabilitation, Substance Use Disorder, with taxonomy code 261QR0405X.

Does Gaudenzia Inc hold a CLIA laboratory certificate?

Yes. A Certificate of Waiver (number 21D2204828) 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 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.