GRACEWORKS ENHANCED LIVING (NPI# 1881768539) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1881768539 |
| Entity Type | Organization |
| Organization Name | GRACEWORKS ENHANCED LIVING |
| Other Organization Name | GARDNER HOME |
| Practice Address |
1980 Gardner Rd Hamilton OH 45013-1120 |
| Mailing Address |
11370 Springfield Pike Cincinnati OH 45246-4202 |
| Practice Telephone | 5138634605 |
| Practice Fax Number | 5138631923 |
| Mailing Telephone | 5136126500 |
| Mailing Fax Number | 5136126545 |
| Enumeration Date | 2006-11-17 |
| Last Update Date | 2015-10-31 |
| Authorized Official Name | MR. MICHAEL W ALLEN (VICE PRESIDENT, FINANCE & FACILITIE) |
| Authorized Official Telephone | 9374366885 |
| Is Organization Subpart | Y |
| Parent Organization Name | GRACEWORKS ENHANCED LIVING |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 315P00000X | Intermediate Care Facility, Mentally Retarded | Nursing & Custodial Care Facilities |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| OH | 0870071 | 05 |
| Other Name | Type Code |
|---|---|
| Gardner Home | Doing Business As Name - Organization |
| 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 |
| 1942669320 | Graceworks Enhanced Living | Residential Treatment Facility, Mental Retardation and/or Developmental Disabilities | 11481 Gideon Ln, Cincinnati, OH 45249-1601 | 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 |
| Street Address |
1980 GARDNER RD |
| City | HAMILTON |
| State | OH |
| Zip Code | 45013-1120 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1043860331 | Cynthia Dossenback | Technician | 2094 Gardner Road, Hamilton, OH 45013 | 2019-09-18 |
| 1427530237 | Barbara Ann Rhymer | Nurse Practitioner | 1474 Main Street, Hamilton, OH 45013 | 2018-08-29 |
| 1740771286 | Rachel Jo Creech | Counselor | 314 S Erie Highway, Hamilton, OH 45013 | 2018-05-21 |
| 1205358488 | Erica Knollman | Specialist/Technologist | 7535 Willey Rd, Hamilton, OH 45013 | 2017-07-10 |
| 1336699669 | Lottie Renee Hamblin | Licensed Practical Nurse | 146 Cedar Ln, Hamilton, OH 45013 | 2016-10-11 |
| 1497103535 | Bio-medical Applications of Ohio, Inc. | Clinic/Center | 890 Nw Washington Blvd, Hamilton, OH 45013 | 2016-05-31 |
| 1689044109 | Gary Juan Kidd | Nurse Practitioner | 2449 Ross Millville Rd Ste 270, Hamilton, OH 45013 | 2015-09-26 |
| 1629487210 | Roger Shane Burton | Community Health Worker | 3926 Shank Road, Hamilton, OH 45013 | 2014-08-07 |
| 1689090458 | Amy Marie Bonham | Registered Nurse | 714 Eaton Avenue, Hamilton, OH 45013 | 2014-03-17 |
| 1932520103 | David L Rivers | Counselor | 1862 Wagon Wheel Dr., Hamilton, OH 45013 | 2013-12-13 |
| Find all providers in zip 45013 | ||||
| Taxonomy Code | 315P00000X |
| Grouping | Nursing & Custodial Care Facilities |
| Classification | Intermediate Care Facility, Mentally Retarded |
| (1) A public institution for care of the mentally retarded or people with related conditions. (2) An institution giving active treatment to mentally retarded or developmentally disabled persons or persons with related conditions. The primary purpose of the institution is to provide health or rehabilitative services to such individuals. |
| Notes: Sources: (1) Lexikon: Dictionary of Health Care Terms, Organizations and Acronyms for the Era of Reform, Joint Commission on Accreditation of Healthcare Organizations, Oakbrook Terrace, IL: 1994, p. 403 (2) Paraphrased from Code of Federal Regulations #42, Public Health, Section 440.150(c). |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1477928638 | Voca Corporation of New Jersey | Intermediate Care Facility, Mentally Retarded | 1 Archer Ct, Hamilton, NJ 08619-3569 | 2015-12-14 |
| 1073778163 | Pamela June Russell | Intermediate Care Facility, Mentally Retarded | 256 Oertli Ln, Hamilton, MT 59840-9330 | 2008-07-28 |
| 1336392257 | Walker House Foster Care | Intermediate Care Facility, Mentally Retarded | 256 Oertli Ln, Hamilton, MT 59840-9330 | 2008-10-23 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1164020616 | Viaquest Healthcare Central | Intermediate Care Facility, Mentally Retarded | 6873 Dave Dr, Madison, OH 44057-1105 | 2020-10-15 |
| 1366056210 | Res-care Ohio, Inc. | Intermediate Care Facility, Mentally Retarded | 410 Abbe Road, Sheffield Lake, OH 44054 | 2020-09-08 |
| 1619581568 | Res-care Ohio, Inc. | Intermediate Care Facility, Mentally Retarded | 460 Abbe Road, Sheffield Lake, OH 44054 | 2020-09-08 |
| 1548874589 | Res-care Ohio, Inc. | Intermediate Care Facility, Mentally Retarded | 448 Opportunity Way, Lagrange, OH 44050-9021 | 2020-09-08 |
| 1194339044 | Res-care Ohio, Inc. | Intermediate Care Facility, Mentally Retarded | 5230 East Lake Road, Sheffield Lake, OH 44054 | 2020-09-08 |
| 1326652496 | Res-care Ohio, Inc. | Intermediate Care Facility, Mentally Retarded | 801 Robinwood, Sheffield Lake, OH 44054 | 2020-09-04 |
| 1346854890 | Res-care Ohio, Inc. | Intermediate Care Facility, Mentally Retarded | 426 Opportunity Way, Lagrange, OH 44050-9021 | 2020-09-02 |
| 1144841438 | Wood Lane Residential Services | Intermediate Care Facility, Mentally Retarded | 355 W Main St., Portage, OH 43451-9802 | 2020-04-28 |
| 1689209009 | 333 Therapeutics Consulting LLC | Intermediate Care Facility, Mentally Retarded | 331 Toby Rd, Eaton, OH 45320-9529 | 2020-03-05 |
| 1700418258 | Jewish Family Service Association | Intermediate Care Facility, Mentally Retarded | 8132 Cedar Rd, Chesterland, OH 44026-3548 | 2020-02-12 |
| Find all providers with the same taxonomy | ||||
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| 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.