WEST MAIN – NPI #1003403155
Residential Treatment Facility, Intellectual and/or Developmental Disabilities
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.
WEST MAIN is a residential treatment facility located in WEST CARROLLTON, OH. NPPES has assigned the NPI number 1003403155 to WEST MAIN on December 23, 2020. It is a Type-2 NPI, indicating this NPI number is associated with an organization. Since the name “WEST MAIN” is a dba name, the actual legal business name for this organization is GRACEWORKS ENHANCED LIVING. The primary taxonomy selected by this provider is 320600000X from the Health Care Provider Taxonomy code set, which is classified as Residential Treatment Facility, Intellectual and/or Developmental Disabilities.
Use the NPI data found here to bill health insurance companies, identify providers enrolled in Medicare and Medicaid services or other HIPAA compliant transactions. See the complete NPI profile for WEST MAIN below.
NPI Profile for
GRACEWORKS ENHANCED LIVING
(more than 5 years ago)
WEST CARROLLTON, OH 45449-1424 Phone: (937) 530-8042 Fax:
CINCINNATI, OH 45246-4202 Phone: Fax:
VICE PRESIDENT, FINANCE & FACILITIE
Phone: (937) 436-6885
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A taxonomy code is a code that describes the health care service provider's type, classification, and the area of specialization. The primary specialty for this provider is indicated as (Primary) below.
| Taxonomy Classification / Specialization | State | License |
|---|---|---|
| 320600000X - Residential Treatment Facility, Intellectual and/or Developmental Disabilities (Primary) |
The taxonomy codes are selected by the provider at the time of NPI registration. Selection of a taxonomy code does not replace any credentialing or validation process that the provider requesting the code should complete.