GRACEWORKS ENHANCED LIVING


Address: 11481 Gideon Ln, Cincinnati, OH 45249-1601
Phone: 5132470358

GRACEWORKS ENHANCED LIVING (NPI# 1942669320) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).

Provider Overview

Nation Provider ID (NPI) 1942669320
Entity Type Organization
Organization Name GRACEWORKS ENHANCED LIVING
Other Organization Name GIDEON
Practice Address 11481 Gideon Ln
Cincinnati
OH 45249-1601
Mailing Address 11370 Springfield Pike
Cincinnati
OH 45246-4202
Practice Telephone 5132470358
Practice Fax Number 5132470765
Mailing Telephone 5136126500
Mailing Fax Number 5136126545
Enumeration Date 2016-02-15
Last Update Date 2016-02-15
Authorized Official Name MR. MICHAEL W ALLEN (VICE PRESIDENT, FINANCE & FACILITIE)
Authorized Official Telephone 9374366885
Is Organization Subpart N

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
Y 320600000X Residential Treatment Facility, Mental Retardation and/or Developmental Disabilities 3114426 OH Residential Treatment Facilities

Other Provider/Organization Names

Other Name Type Code
Gideon Other Name - Individual/Organization

Other Provider IDs and Locations

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
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
1194981720 Graceworks Enhanced Living Intermediate Care Facility, Mentally Retarded 1227 Springfield Pike, Cincinnati, OH 45215-2123 2008-08-04

Office Location

Street Address 11481 GIDEON LN
City CINCINNATI
State OH
Zip Code 45249-1601

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1235668526 Kayla Murray Midwife 8763 Weller Road, Cincinnati, OH 45249 2017-06-08
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1407012842 Dr Jennifer Munson Kidney Care Specialist LLC Internal Medicine 11397 Terwillingers Creek Drive, Cincinnati, OH 45249 2008-08-05
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1083823553 James Michael Fuchs Dentist 8805 Governors Hill, #105, Cincinnati, OH 45249 2007-05-22
1871715474 Conrad Thomas Landing Physical Therapist 8650 Govenors Hill Dr., Cincinnati, OH 45249 2007-05-03
1649317108 Dr. E. M. Kirstein & Associates, Inc. Optometrist 8211 Cornell Rd., Suite 510, Cincinnati, OH 45249 2007-01-31
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Taxonomy Information

Taxonomy Code 320600000X
Grouping Residential Treatment Facilities
Classification Residential Treatment Facility, Mental Retardation and/or Developmental Disabilities

Taxonomy Definition

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]

Providers in the same taxonomy and city

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
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
1659445294 Graceworks Enhanced Living Residential Treatment Facility, Mental Retardation and/or Developmental Disabilities 450 Wyoming Ave, Cincinnati, OH 45215-4451 2006-11-17
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Competitor

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City CINCINNATI
Zip Code 45249

Improve Information

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Dataset Information

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.

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