NPIMap

Organization Active NPI

Graceworks Enhanced Living

  • Developmentally Disabled Services Day Training Agency
  • Dayton, OH
National Provider Identifier
1912366303
Registry record updated Dec 23, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Developmentally Disabled Services Day Training AgencyTaxonomy code 251C00000X
Legal business name
GRACEWORKS ENHANCED LIVING
Practice address
224 N Saint Clair St
Dayton, OH 45402-1230
Phone
(937) 221-8666
NPI assigned
Feb 15, 2016
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Dec 23, 2020

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name
Mr. Michael W Allen
Title
Vice President, Finance & Facilitie
Phone
(937) 436-6885

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Developmentally Disabled Services Day Training Agency 251C00000X Primary

Addresses

Primary practice location

224 N Saint Clair St
Dayton, OH 45402-1230

Mailing address

11370 Springfield Pike
Cincinnati, OH 45246-4202
Phone (513) 612-6500

Other names 1

  • Day Program-Dayton Other name

National Provider Directory

National Provider Directory
Tax ID family
Graceworks Enhanced Living46 organizations share this tax ID, including this one

Other organizations with this tax ID 45

Organizations that report the same tax identification number in the National Provider Directory.

View all 45

Locations

224 N Saint Clair St
Dayton, OH 45402
Phone (937) 221-8666

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1455494400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1608681600000",
    "number": "1912366303",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "11370 SPRINGFIELD PIKE",
            "city": "CINCINNATI",
            "state": "OH",
            "postal_code": "452464202",
            "telephone_number": "513-612-6500",
            "fax_number": "513-612-6545"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "224 N SAINT CLAIR ST",
            "city": "DAYTON",
            "state": "OH",
            "postal_code": "454021230",
            "telephone_number": "937-221-8666"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "GRACEWORKS ENHANCED LIVING",
        "organizational_subpart": "NO",
        "enumeration_date": "2016-02-15",
        "last_updated": "2020-12-23",
        "certification_date": "2020-12-23",
        "status": "A",
        "authorized_official_last_name": "ALLEN",
        "authorized_official_first_name": "MICHAEL",
        "authorized_official_middle_name": "W",
        "authorized_official_title_or_position": "VICE PRESIDENT, FINANCE & FACILITIE",
        "authorized_official_telephone_number": "937-436-6885",
        "authorized_official_name_prefix": "Mr."
    },
    "taxonomies": [
        {
            "code": "251C00000X",
            "taxonomy_group": "",
            "desc": "Day Training, Developmentally Disabled Services",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Day Program-Dayton",
            "code": "5",
            "type": "Other Name"
        },
        {
            "organization_name": "Day Program-Dayton",
            "code": "5",
            "type": "Other Name"
        }
    ]
}

Other providers in Dayton, OH

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 23, 2020; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.