GAUDENZIA INC — NPI 1376103556 (Licensed Outpatient Medical Clinic / Urgent Care & Ambulatory Center in ELLENDALE, DE)

CMS-1500 Box 24J / 33a • NPI

1376103556

Type 2 Organization (Box 32a/33a)

HIPAA NUCC Taxonomy • CMS Code

261QR0405X (CMS D5)

Licensed Outpatient Medical Clinic / Urgent Care & Ambulatory Center

Box 32 Service Location & ZIP+4

18514 PENTECOSTAL ST, ELLENDALE, DE, 19941-3358

✓ 9-Digit EDI 837 ZIP+4 (19941-3358)

Practice Phone & Referral Fax

(302) 836-8260

Fax: (302) 503-3155

✓ HHS OIG LEIE Sanction Screening — VERIFIED CLEAR: NPI 1376103556 (GAUDENZIA INC) has 0 active federal exclusions across all 84,224 HHS OIG LEIE sanction records (Database Verified: 2026-11-11).

CMS Medicare Order & Referring PECOS Eligibility

Institutional Type-2 NPI facilities enroll via CMS-855A institutional provider agreements rather than individual Order & Referring PECOS.

Official CMS NPPES Credential & Practice Profile

10-Digit NPI Number	`1376103556` (NPI-2 Organization / Facility)
Provider / Legal Name	GAUDENZIA INC
Plain-English Specialty	Licensed Outpatient Medical Clinic / Urgent Care & Ambulatory Center NUCC Code: `261QR0405X` (Clinic/Center, Rehabilitation, Substance Use Disorder)
Certifying / Licensing Body	Accreditation Association for Ambulatory Health Care (AAAHC) / CMS
Practice Location Address	18514 PENTECOSTAL ST, ELLENDALE, DE, 19941-3358
Practice Telephone / Fax	Tel: (302) 836-8260 \| Fax: (302) 503-3155
Administrative Mailing Address	106 W MAIN ST, NORRISTOWN, PA, 19401-4716
Enumeration & Last Sync	Enumerated: 2019-06-19 \| CMS Record Updated: 2019-06-19
Authorized Official	NICHOLAS CHABAN (Controller)

Clinic Location, Accessibility & Directions

📍 Practice Location & Patient Access

18514 PENTECOSTAL ST, ELLENDALE, DE, 19941-3358

🗺️ Open in Google Maps 🏥 More Providers in ELLENDALE

🔒 Are you GAUDENZIA INC? Get your Verified NPI Clinic Badge or request personal phone/address redaction →

Plain-English Taxonomy & CMS Crosswalk (261QR0405X)

What Does Taxonomy Code 261QR0405X Mean?

In the HIPAA National Uniform Claim Committee (NUCC) classification, code 261QR0405X translates to:
"Licensed Outpatient Medical Clinic / Urgent Care & Ambulatory Center"

CMS-1500 Medicare Specialty Crosswalk: CMS Code D5 (Opioid Treatment Program)
Certifying / Accrediting Authority: Accreditation Association for Ambulatory Health Care (AAAHC) / CMS
Clinical Scope: Same-day outpatient consultations, urgent walk-in medical care, vaccinations, and day-case diagnostic procedures.

Specialty Clinical Procedures & Therapeutic Classes

Standard Scope of Care (GAUDENZIA INC)

Typical CPT / Diagnostic Procedures:

Walk-In Urgent Care Evaluation, Point-of-Care Testing & X-Ray
Same-Day Ambulatory Endoscopy, Cataract & Minor Surgical Procedures

Common Therapeutic Classes:

Outpatient Oral Antimicrobials, Analgesics, Nebulizers & Vaccines

All Registered NUCC Taxonomies & State Licenses

Taxonomy Code & Plain-English Description	State License & Primary Status
`320800000X` — Community Based Residential Treatment Facility, Mental Illness Plain English: Licensed & Credentialed Community Based Residential Treatment Facility, Mental Illness	State: N/A \| License: `Verified` \| Primary: Secondary
`261QR0405X` — Clinic/Center, Rehabilitation, Substance Use Disorder Plain English: Licensed Outpatient Medical Clinic / Urgent Care & Ambulatory Center	State: N/A \| License: `Verified` \| Primary: Yes (Primary)

Medical Billing, RCM & Hospital Credentialing Teams:

Batch-verify up to 25 NPIs free against CMS NPPES + Medicare PECOS + HHS OIG Exclusions with 1-click CSV export.

Launch Bulk NPI Checker → JSON API Docs

GAUDENZIA INC (NPI #1376103556)