Madison

LBN: Graceworks Enhanced Living
Madison is an health care organization with primary practice located at 2221 Madison Rd , Cincinnati OH 45208-2605. The organization recently has only one registered license in Residential Treatment Facilities / Residential Treatment Facility, Mental Retardation and/or Developmental Disabilities, which is considered as the primary health care specialty. Graceworks Enhanced Living can be contacted via phone (513) 871-2926, or through Allen, Michael W via phone (937) 436-6885.

Contact Information

Primary practice address
2221 Madison Rd Cincinnati OH 45208-2605
Phone: (513) 871-2926
Fax:
Website:
Map and Directions
Authorized official contact:
Name: Allen, Michael W
Phone: (937) 436-6885

Health care specialties

SpecialtyCodeLicense #State
Residential Treatment Facilities / Residential Treatment Facility, Mental Retardation and/or Developmental Disabilities 320600000X

Profile Details

NPI number 1962576645
LBN Legal business name Graceworks Enhanced Living
DBA Doing business as Madison
Authorized official Allen, Michael W
Entity Organization
Organization subpart 1 Yes
Enumeration date Nov 17th, 2006
Last updated Dec 23rd, 2020 - about 5 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 1962576645 NPPES
Ohio Other 3111411 ODMRDD FACILITY NUMBER

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