OrganizationActive
Graceworks Enhanced Living
NPI 1942669320 · Intellectual and/or Developmental Disabilities Residential Treatment Facility · Cincinnati, OH
Provider details
- NPI number
- 1942669320
- Entity type
- Organization
- Primary specialty
- Intellectual and/or Developmental Disabilities Residential Treatment FacilityResidential Treatment Facilities
- Organization subpart
- No
- Authorized official
- Michael Allen, Vice President, Finance & Facilitie(937) 436-6885
- License
- 3114426 (OH)
Specialties & taxonomies
- Intellectual and/or Developmental Disabilities Residential Treatment FacilityPrimary320600000XLicense 3114426 (OH)
Residential Treatment Facilities
Profile Score
Established profile(72/100 index)
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure38% of score
10 yrs in NPPES registry
- Profile completeness38% of score
100% of core fields populated
- Practice footprint23% of score
1 documented practice location
Signals a provider has no public data for (e.g. Medicare claims) are left out of the score entirely — never counted as zero — so providers without that data are not penalized. See the full formula and weights in our methodology.
Practice location
11481 Gideon Ln
Cincinnati, OH 45249-1601
Phone: (513) 247-0358
Fax: (513) 247-0765
Street-level locationGet directions
Mailing address
11370 Springfield Pike
Cincinnati, OH 45246-4202
Other names (DBA / former)
- Other name
- Gideon
- Other name
- Gideon
Registry dates
- Enumerated
- 2016-02-15
- Last updated
- 2020-12-23
- Certified
- 2020-12-23
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.