Kemper Meadow Home

LBN: Graceworks Enhanced Living
Kemper Meadow Home is an health care organization with primary practice located at 1045 Kemper Meadow Drive , Forest Park OH 45240. 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) 648-0830, or through Allen, Michael W via phone (937) 436-6885.

Contact Information

Primary practice address
1045 Kemper Meadow Drive Forest Park OH 45240
Phone: (513) 648-0830
Fax: (513) 612-6545
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 1821422916
LBN Legal business name Graceworks Enhanced Living
DBA Doing business as Kemper Meadow Home
Authorized official Allen, Michael W
Entity Organization
Organization subpart 1 Yes
Enumeration date Aug 26th, 2013
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 1821422916 NPPES
Ohio MEDICAID 0090195
Ohio Other 36-G673

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