Wyoming Home

LBN: Graceworks Enhanced Living
Wyoming Home is an health care organization with primary practice located at 1227 Springfield Pike , Cincinnati OH 45215-2123. The organization recently has only one registered license in Nursing & Custodial Care Facilities / Intermediate Care Facility, Mentally Retarded, which is considered as the primary health care specialty. Graceworks Enhanced Living can be contacted via phone (513) 761-3999, or through Allen, Michael W via phone (937) 436-6885.

Contact Information

Primary practice address
1227 Springfield Pike Cincinnati OH 45215-2123
Phone: (513) 761-3999
Fax: (513) 761-4765
Website:
Map and Directions
Authorized official contact:
Name: Allen, Michael W
Phone: (937) 436-6885

Health care specialties

SpecialtyCodeLicense #State
Nursing & Custodial Care Facilities / Intermediate Care Facility, Mentally Retarded 315P00000X

Profile Details

NPI number 1194981720
LBN Legal business name Graceworks Enhanced Living
DBA Doing business as Wyoming Home
Authorized official Allen, Michael W
Entity Organization
Organization subpart 1 Yes
Enumeration date Aug 4th, 2008
Last updated Dec 23rd, 2020 - about 4 years ago

1 Some organizations, which are providing health care services, may consist of units or departments that provide different types of health care services or have several separate physical locations, where health care service is provided. These units, departments or physical locations are not themselves legal entities. However, each of them is part of the organization, which is a legal entity. The organization may decide whether its subparts, if it has any, should have their own NPI numbers. In case a subpart conducts any HIPAA standard transactions by itself, without its parent's involvement, it must have its own NPI number.

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Identifiers

StateTypeNumberIssuer
All States NPI 1194981720 NPPES
Ohio MEDICAID 2900632

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