Graceworks Enhanced Living in Beavercreek - Residential Treatment Facility, Intellectual And/or Developmental Disabilities
Graceworks Enhanced Living - NPI 1104990886
Graceworks Enhanced Living is a Residential Treatment Facility, Intellectual And/or Developmental Disabilities in Beavercreek, Ohio. Graceworks Enhanced Living practices all healthcare services and medical treatments related to Residential Treatment Facility, Intellectual And/or Developmental Disabilities. The NPI Number for Graceworks Enhanced Living is 1104990886. The last update date is 2020-12-23.
Graceworks Enhanced Living's current location address is 3695 Fincastle Dr, Beavercreek, Ohio. You can contact this provider via phone number 9374269183. The mailing address for Graceworks Enhanced Living is 3695 Fincastle Dr, Beavercreek, Ohio. To know further, please read the information below!
Provider Profile Detail
| Provider Organization | Graceworks Enhanced Living |
|---|---|
| Address | 3695 Fincastle Dr, Beavercreek, Ohio |
| Phone Number | 9374269183 |
| Fax Number | |
| Sole Proprietor | -- |
| Credentials | -- |
Authorized Official
| Title or Position | VICE PRESI |
|---|---|
| Authorized Official Name | Allen W Michael |
| Telephone Number | 9374366885 |
NPI Number Detail
| NPI Number | 1104990886 |
|---|---|
| Provider Enumeration Date | 2006-11-17 |
| Last Updated Date | 2020-12-23 |
Provider Mailing Address Detail
| Address | 3695 Fincastle Dr |
|---|---|
| City | Beavercreek |
| State | Ohio (OH) |
| Post Code | 454312405 |
| Phone Number | 9374269183 |
| Fax Number |
Provider's Primary Taxonomy Detail
| Speciality | Residential Treatment Facility, Intellectual And/or Developmental Disabilities |
|---|---|
| Taxonomy | 320600000X |
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Definition: A residential facility that provides habilitation services and other care and treatment to adults or children diagnosed with developmental and intellectual disabilities and are not able to live independently. |
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What is the unique identifier code issued to Graceworks Enhanced Living by the Centers for Medicare & Medicaid Services?
The Graceworks Enhanced Living has been assigned the NPI (National Provider Identifier) 1104990886. This 10-digit code serves as a unique identification number for healthcare providers issued by the Centers for Medicare & Medicaid Services (CMS).
Could you kindly provide the complete physical address where Graceworks Enhanced Living's facilities are geographically located?
The facilities of Graceworks Enhanced Living are physically situated at the following location: 3695 Fincastle Dr, Beavercreek, OH, 454312405.
What is Graceworks Enhanced Living's specialized field of practice, and what is the corresponding taxonomy code that categorizes this area of expertise?
The area of specialization for Graceworks Enhanced Living is Residential Treatment Facility, Intellectual And/or Developmental Disabilities, and the taxonomy code that classifies this field of practice is 320600000X.
When did Graceworks Enhanced Living receive its 1104990886 assignment?
The Graceworks Enhanced Living was assigned its 1104990886 on 2006-11-17, which is the date when this unique identifier was issued to the organization.
When was the information regarding Graceworks Enhanced Living most recently updated?
The details pertaining to the Graceworks Enhanced Living, including its address, specialty, and other relevant information, were last refreshed on 2020-12-23.