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GAUDENZIA BROAD STREET
NPI 1366571317
Clinic/Center - Rehabilitation, Substance Use Disorder in Philadelphia, PA

Active since March 05, 2007
3025 N BROAD ST, PHILADELPHIA, PA 19132(215) 223-1167(215) 223-1928 Get Directions Write a Review

NPPES record last updated: March 10, 2022. Verified against the NPPES registry weekly; last sync: October 04, 2026.

Record update history: Mar 10, 2022, Aug 22, 2020 (2 updates tracked since 2020).

About Gaudenzia Broad Street NPPES

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

GAUDENZIA BROAD STREET (NPI 1366571317) is a healthcare organization registered as a rehabilitation, substance use disorder in Philadelphia, Pennsylvania and active in the NPI registry since March 2007. The organization lists Mike Williams, Sr. Contracting Manager, as its authorized official.

NPPES Registry Identity

NPI1366571317
Entity TypeOrganization
Primary Taxonomy261QR0405X
Legal Business NameGAUDENZIA INC
Location Address3025 N BROAD STPhiladelphia, PA 19132-2404
Mailing Address106 W Main StNorristown, PA 19401-4716 · (610) 236-9600 · Fax (610) 275-7025
Phone(215) 223-1167
Fax(215) 223-1928
Organization SubpartNo
Authorized OfficialMike WilliamsSr. Contracting Manager · (484) 338-3731
Enumeration DateMarch 5, 2007
Last NPPES UpdateMarch 10, 20222 updates tracked since enumeration
NPPES CertifiedMarch 10, 2022
✔ NPI 1366571317 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyClinic/Center · Rehabilitation, Substance Use DisorderAmbulatory Health Care Facilities
Taxonomy Code261QR0405X
License✔ Licensed in PA · 807255
Also ListedCommunity/Behavioral HealthTaxonomy 251S00000X · License 807255 (PA)
3025 N BROAD ST, Philadelphia, PA 19132
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Other Names 1

Other NameGaudenzia Broad Street

Other Identifiers 2

Medicaid1002285890053PA
Medicaid1002285890054PA

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Ambetter from Buckeye Health Plan, Ambetter Health, Ambetter Health of Delaware.Insurance ›

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 1366571317. It was assigned to this organization in the NPPES registry on March 5, 2007. The provider is also known as Gaudenzia Broad Street.

Where is Gaudenzia Inc located?

Gaudenzia Inc is located at 3025 N Broad St, Philadelphia, PA 19132. The listed phone number is (215) 223-1167.

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.

What insurance does Gaudenzia Inc accept?

Health plans from Ambetter Health, Ambetter Health of Delaware and Ambetter from Buckeye Health Plan list Gaudenzia Inc as in-network in at least one marketplace plan. Coverage varies by plan and year; verify with the insurer or the provider before a visit.

When was this NPI record last updated?

The NPPES record for Gaudenzia Inc was last updated on March 10, 2022. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 4 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.