Graceworks Enhanced Living in Cincinnati - Intermediate Care Facility, Intellectual Disabilities
Graceworks Enhanced Living - NPI 1205900917
Graceworks Enhanced Living is a Intermediate Care Facility, Intellectual Disabilities in Cincinnati, Ohio. Graceworks Enhanced Living practices all healthcare services and medical treatments related to Intermediate Care Facility, Intellectual Disabilities. The NPI Number for Graceworks Enhanced Living is 1205900917. The last update date is 2020-12-23.
Graceworks Enhanced Living's current location address is 11651 Walnut St, Cincinnati, Ohio. You can contact this provider via phone number 5136712654 and fax number 5136711293. The mailing address for Graceworks Enhanced Living is 11651 Walnut St, Cincinnati, Ohio. To know further, please read the information below!
Provider Profile Detail
| Provider Organization | Graceworks Enhanced Living |
|---|---|
| Address | 11651 Walnut St, Cincinnati, Ohio |
| Phone Number | 5136712654 |
| Fax Number | 5136711293 |
| Sole Proprietor | -- |
| Credentials | -- |
Authorized Official
| Title or Position | VICE PRESI |
|---|---|
| Authorized Official Name | Allen W Michael |
| Telephone Number | 9374366885 |
NPI Number Detail
| NPI Number | 1205900917 |
|---|---|
| Provider Enumeration Date | 2006-11-17 |
| Last Updated Date | 2020-12-23 |
Provider Mailing Address Detail
| Address | 11651 Walnut St |
|---|---|
| City | Cincinnati |
| State | Ohio (OH) |
| Post Code | 452463046 |
| Phone Number | 5136712654 |
| Fax Number | 5136711293 |
Provider's Primary Taxonomy Detail
| Speciality | Intermediate Care Facility, Intellectual Disabilities |
|---|---|
| Taxonomy | 315P00000X |
| Licence No | 3112143 |
|
Definition: An intermediate care facility providing services for individuals with intellectual disabilities. |
|
Provider's Other Legacy Identifiers
| Identifier | Identifier Type | Identifier State | Identifier Issuer |
|---|---|---|---|
| 2032740 | OH | -- |
Post Comment/ Review Below
What is the unique provider identifier assigned to Graceworks Enhanced Living?
The Graceworks Enhanced Living has been issued the NPI (National Provider Identifier) 1205900917 by the Centers for Medicare & Medicaid Services (CMS). This 10-digit code is a unique identification number for healthcare providers.
Could you share the physical location details of Graceworks Enhanced Living?
The Graceworks Enhanced Living is situated at 11651 Walnut St, in the city of Cincinnati, state of OH, with the zip code 452463046.
What is Graceworks Enhanced Living's area of specialization, and what is the corresponding taxonomy classification code for this field of practice?
The specialized area of practice for Graceworks Enhanced Living is Intermediate Care Facility, Intellectual Disabilities, and the taxonomy code that categorizes this field of expertise is 315P00000X.
On what date did the Centers for Medicare & Medicaid Services assign the 1205900917 to Graceworks Enhanced Living?
The Centers for Medicare & Medicaid Services assigned the 1205900917 to Graceworks Enhanced Living on 2006-11-17.
When was the information pertaining to Graceworks Enhanced Living most recently updated or revised?
The details related to Graceworks Enhanced Living, including its address, specialty, and other relevant information, were last updated or revised on 2020-12-23.