Springdale Home

LBN: Graceworks Enhanced Living
Springdale Home is an health care organization with primary practice located at 11651 Walnut St , Cincinnati OH 45246-3046. 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) 671-2654, or through Allen, Michael W via phone (937) 436-6885.

Contact Information

Primary practice address
11651 Walnut St Cincinnati OH 45246-3046
Phone: (513) 671-2654
Fax: (513) 671-1293
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 3112143 Ohio

Profile Details

NPI number 1205900917
LBN Legal business name Graceworks Enhanced Living
DBA Doing business as Springdale Home
Authorized official Allen, Michael W
Entity Organization
Organization subpart 1 Yes
Enumeration date Nov 17th, 2006
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 1205900917 NPPES
Ohio MEDICAID 2032740

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