GRACEWORKS ENHANCED LIVING NPI 1508930207

NPI Information

  • NPI: 1508930207
  • Provider Name: GRACEWORKS ENHANCED LIVING
  • Classification: Residential Treatment Facility, Intellectual and/or Developmental Disabilities - 320600000X
  • Entity Type: Organization
  • Doing Business As: VALLEY HOME
  • Address: 3731 ISABELLA AVE
    CINCINNATI, OH
    ZIP 45209
  • Phone: (513) 631-1690

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NPI Details

GRACEWORKS ENHANCED LIVING is a residential treatment facility, intellectual and/or developmental disabilities in Cincinnati, OH. The provider is a residential facility that provides habilitation services and other care and treatment to adults or children diagnosed with developmental and intellectual disabilities and are not able to live independently. GRACEWORKS ENHANCED LIVING NPI is 1508930207. The provider is registered as an organization entity type.
The provider Is Doing Business As Valley Home.

The provider's business location address is:

3731 ISABELLA AVE
CINCINNATI, OH
ZIP 45209-301
Phone: (513) 631-1690
Fax: (513) 631-6633

The provider's authorized official is Michael W Allen .
The authorized official title is Vice President, Finance & Facilitie and has the following contact phone number (937) 436-6885.

The enumeration date for this NPI number is 11/17/2006 and was last updated on 12/23/2020.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No. Taxonomy Code Taxonomy Clasification Taxonomy Specialization License Number License State Primary
1320600000XResidential Treatment Facility, Intellectual and/or Developmental Disabilities3111939OHIOYes

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No. Other Provider Identifier Other Provider Identifier Type Other Provider Identifier State Other Provider Identifier Issuer
10615070MEDICAIDOHIO

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 11/21/2025

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