Provider Type Icon

GRACEWORKS ENAHNCED LIVING NPI 1922695071


NPI Information

NPI: 1922695071
Provider Name: GRACEWORKS ENAHNCED LIVING

Doing Business As: WOODRIDGE

Classification: Residential Treatment Facility, Intellectual and/or Developmental Disabilities - 320600000X
Entity Type: Organization
Address:
4018 WOODRIDGE DR
ENGLEWOOD, OH
ZIP 45322
Phone: (937) 998-8002
Get Directions

GRACEWORKS ENAHNCED LIVING is a residential treatment facility, intellectual and/or developmental disabilities in Englewood, 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 ENAHNCED LIVING NPI is 1922695071. The provider is registered as an organization entity type.
The provider Is Doing Business As Woodridge.

The provider's business location address is:

4018 WOODRIDGE DR
ENGLEWOOD, OH
ZIP 45322-555
Phone: (937) 998-8002

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 12/23/2020 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 DisabilitiesYes

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: 5/5/2024

All materials and services on this site are provided on an "as is" and "as available" basis without warranty of any kind. The NPI record is maintained by the National Plan & Provider Enumeration System (NPPES) and anyone may request this information and other NPPES health care provider data from HHS under The Freedom of Information Act (FOIA), Title 5 of the United States Code, section 552. To update the NPI records please contact the NPPES.