GRACEWORKS ENHANCED LIVING (NPI# 1356416762) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1356416762 |
| Entity Type | Organization |
| Organization Name | GRACEWORKS ENHANCED LIVING |
| Other Organization Name | OHIO HOME |
| Practice Address |
1620 Miramar Ct Cincinnati OH 45237-2718 |
| Mailing Address |
11370 Springfield Pike Cincinnati OH 45246-4202 |
| Practice Telephone | 5137616843 |
| Practice Fax Number | 5137612285 |
| Mailing Telephone | 5136126500 |
| Mailing Fax Number | 5136126545 |
| Enumeration Date | 2006-11-21 |
| Last Update Date | 2015-10-31 |
| Authorized Official Name | MR. MICHAEL W ALLEN (VICE PRESIDENT, FINANCE & FACILITIE) |
| Authorized Official Telephone | 9374366885 |
| Is Organization Subpart | Y |
| Parent Organization Name | GRACEWORKS ENHANCED LIVING |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 315P00000X | Intermediate Care Facility, Mentally Retarded | 3111911 | OH | Nursing & Custodial Care Facilities |
| Y | 320600000X | Residential Treatment Facility, Mental Retardation and/or Developmental Disabilities | 3111911 | OH | Residential Treatment Facilities |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| OH | 0615052 | 05 | |
| OH | 0850753 | 05 |
| Other Name | Type Code |
|---|---|
| Ohio Home | Doing Business As Name - Organization |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1801255294 | Graceworks Enhanced Living | Residential Treatment Facility, Mental Retardation and/or Developmental Disabilities | 5584 Hugh Dr, Centerville, OH 45459-1617 | 2016-02-15 |
| 1265891642 | Graceworks Enhanced Living | Residential Treatment Facility, Mental Retardation and/or Developmental Disabilities | 297 Concept Ct, Dayton, OH 45458-2267 | 2016-02-15 |
| 1942669320 | Graceworks Enhanced Living | Residential Treatment Facility, Mental Retardation and/or Developmental Disabilities | 11481 Gideon Ln, Cincinnati, OH 45249-1601 | 2016-02-15 |
| 1477912855 | Graceworks Enhanced Living | Residential Treatment Facility, Mental Retardation and/or Developmental Disabilities | 7741 Glenover Dr, Cincinnati, OH 45236-2145 | 2016-02-15 |
| 1346609732 | Graceworks Enhanced Living | Residential Treatment Facility, Mental Retardation and/or Developmental Disabilities | 1300 Willowdale Ave, Dayton, OH 45429-5148 | 2016-02-15 |
| 1912366303 | Graceworks Enhanced Living | Day Training, Developmentally Disabled Services | 224 N Saint Clair St, Dayton, OH 45402-1230 | 2016-02-15 |
| 1528495637 | Graceworks Enhanced Living | Residential Treatment Facility, Mental Retardation and/or Developmental Disabilities | 4519 Williamsport Dr, Beavercreek, OH 45430-1842 | 2013-10-03 |
| 1972930659 | Graceworks Enhanced Living | Residential Treatment Facility, Mental Retardation and/or Developmental Disabilities | 1939 Kitty Hawk Dr, Xenia, OH 45385-5372 | 2013-09-26 |
| 1053748731 | Graceworks Enhanced Living | Residential Treatment Facility, Mental Retardation and/or Developmental Disabilities | 3690 Shakertown Rd, Beavercreek, OH 45430-1425 | 2013-09-26 |
| 1821422916 | Graceworks Enhanced Living | Intermediate Care Facility, Mentally Retarded | 1045 Kemper Meadow Drive, Forest Park, OH 45240 | 2013-08-26 |
| Street Address |
1620 MIRAMAR CT |
| City | CINCINNATI |
| State | OH |
| Zip Code | 45237-2718 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1669083697 | Exaptional Senior Care | Nursing Care | 7373 Brook Crest Rd, 342, Cincinnati, OH 45237 | 2020-08-13 |
| 1568923019 | Leah M Steverson | Social Worker | 7373 Brookcrest Dr., Suite 305, Cincinnati, OH 45237 | 2019-03-27 |
| 1144703018 | Sarah Jeanne Ventura | Registered Nurse | 5752 Rhode Island Ave, Cincinnati, OH 45237 | 2018-09-07 |
| 1508389396 | Anna Johnson | Social Worker | 7162 Reading Rd Suite 300, Cincinnati, OH 45237 | 2017-07-24 |
| 1881135754 | Safiya Ahmed | Home Health | 8075 Reading Rd., Suite 203, Cincinnati, OH 45237 | 2017-03-13 |
| 1972049963 | Pieces of The Heart Group Home | In Home Supportive Care | 1302 Laidlaw Ave., Cincinnati, OH 45237 | 2017-01-13 |
| 1346785003 | Arlette Stephanie Njokou Tchamda | Registered Nurse | 23 E Lakeshore Dr Apt 8, Cincinnati, OH 45237 | 2017-01-04 |
| 1487015350 | Cara J Johnson | Nurse's Aide | 7870 Glenorchard Dr, Cincinnati, OH 45237 | 2016-03-18 |
| 1144689878 | Anwar Lucas | Licensed Practical Nurse | 4721 Reaing Road, St. Aloysius Orphanage, Cincinnati, OH 45237 | 2016-02-23 |
| 1659736205 | Vickey Yvonne Allen | Licensed Practical Nurse | 1739 Dalewood Pl, Cincinnati, OH 45237 | 2015-12-28 |
| Find all providers in zip 45237 | ||||
| Taxonomy Code | 320600000X |
| Grouping | Residential Treatment Facilities |
| Classification | Residential Treatment Facility, Mental Retardation and/or Developmental Disabilities |
| A residential facility that provides habilitation services and other care and treatment to adults or children diagnosed with developmental disabilities and/or mental retardation and are not able to live independently. |
| Notes: [7/1/2003: new] |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1154846095 | Anitra L Richardson | Residential Treatment Facility, Mental Retardation and/or Developmental Disabilities | 3321 Hackberry St, Cincinnati, OH 45207-1701 | 2017-08-11 |
| 1942669320 | Graceworks Enhanced Living | Residential Treatment Facility, Mental Retardation and/or Developmental Disabilities | 11481 Gideon Ln, Cincinnati, OH 45249-1601 | 2016-02-15 |
| 1477912855 | Graceworks Enhanced Living | Residential Treatment Facility, Mental Retardation and/or Developmental Disabilities | 7741 Glenover Dr, Cincinnati, OH 45236-2145 | 2016-02-15 |
| 1720249568 | Epilepsy Foundation of Greater Cincinnati | Residential Treatment Facility, Mental Retardation and/or Developmental Disabilities | 895 Central Ave, Suite 550, Cincinnati, OH 45202-1961 | 2008-06-24 |
| 1356529499 | The Resident Home Corporation | Residential Treatment Facility, Mental Retardation and/or Developmental Disabilities | 3030 W Fork Rd, Cincinnati, OH 45211-1944 | 2008-01-31 |
| 1588874705 | Stephenie Kathryn Seta | Residential Treatment Facility, Mental Retardation and/or Developmental Disabilities | 4552 Patron Ct, Cincinnati, OH 45238-5808 | 2007-05-23 |
| 1932274354 | Graceworks Enhanced Living | Residential Treatment Facility, Mental Retardation and/or Developmental Disabilities | 3519 Washington Ave, Cincinnati, OH 45229-2615 | 2006-11-21 |
| 1538234943 | Graceworks Enhanced Living | Residential Treatment Facility, Mental Retardation and/or Developmental Disabilities | 1162 Meriweather Ave, Cincinnati, OH 45208-2811 | 2006-11-21 |
| 1467526137 | Graceworks Enhanced Living | Residential Treatment Facility, Mental Retardation and/or Developmental Disabilities | 4945 Kelsch Ln, Cincinnati, OH 45227-1407 | 2006-11-17 |
| 1962576645 | Graceworks Enhanced Living | Residential Treatment Facility, Mental Retardation and/or Developmental Disabilities | 2221 Madison Rd, Cincinnati, OH 45208-2605 | 2006-11-17 |
| Find all providers in CINCINNATI | ||||
| City | CINCINNATI |
| Zip Code | 45237 |
Please comment or provide details below to improve the information on GRACEWORKS ENHANCED LIVING.
| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.