Graceworks Enhanced Living in Beavercreek - Residential Treatment Facility, Intellectual And/or Developmental Disabilities
Graceworks Enhanced Living - NPI 1730356585
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 1730356585. The last update date is 2020-12-23.
Graceworks Enhanced Living's current location address is 3752 Grant Ave Apt C, Beavercreek, Ohio. You can contact this provider via phone number 9376731427. The mailing address for Graceworks Enhanced Living is 3752 Grant Ave Apt C, Beavercreek, Ohio. To know further, please read the information below!
Provider Profile Detail
| Provider Organization | Graceworks Enhanced Living |
|---|---|
| Address | 3752 Grant Ave Apt C, Beavercreek, Ohio |
| Phone Number | 9376731427 |
| 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 | 1730356585 |
|---|---|
| Provider Enumeration Date | 2008-05-12 |
| Last Updated Date | 2020-12-23 |
Provider Mailing Address Detail
| Address | 3752 Grant Ave Apt C |
|---|---|
| City | Beavercreek |
| State | Ohio (OH) |
| Post Code | 454311588 |
| Phone Number | 9376731427 |
| 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 10-digit 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) 1730356585 by the CMS (Centers for Medicare & Medicaid Services). This 10-digit code serves as a unique identification number for healthcare providers.
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: 3752 Grant Ave Apt C, Beavercreek, OH, 454311588.
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.
On what date did the Graceworks Enhanced Living receive the assignment of its 1730356585 from the Centers for Medicare & Medicaid Services?
The Graceworks Enhanced Living was issued its 1730356585 by the Centers for Medicare & Medicaid Services on 2008-05-12.
As of what date were the details related to Graceworks Enhanced Living most recently updated or revised?
The information pertaining to Graceworks Enhanced Living, including its address, specialty, and other relevant details, was last updated or revised on 2020-12-23.