ANTHONY – NPI #1083201123
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.

Health Care Provider Taxonomy Code for Residential Treatment Facility, Intellectual and/or Developmental Disabilities

ANTHONY is a residential treatment facility located in LIBERTY TOWNSHIP, OH. NPPES has assigned the NPI number 1083201123 to ANTHONY on December 23, 2020. It is a Type-2 NPI, indicating this NPI number is associated with an organization. Since the name “ANTHONY” 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 ANTHONY below.

NPI Profile for
GRACEWORKS ENHANCED LIVING

NPI Number
1083201123
Enumeration Date

(more than 5 years ago)
Entity Type
Type-2  Organization
Organization health care providers may have a single employee or thousands of employees. An example is an incorporated individual who is an organization's only employee.
Legal Name
GRACEWORKS ENHANCED LIVING
Doing Business As (dba): ANTHONY
Primary location
6362 ANTHONY DR
LIBERTY TOWNSHIP, OH 45011-1303
Phone: (513) 755-1240 Fax:
Mailing address
11370 SPRINGFIELD PIKE
CINCINNATI, OH 45246-4202
Phone: Fax:
Organization Subpart
Yes - ANTHONY is subpart of another organization.
Authorized Official
MICHAEL ALLEN
VICE PRESIDENT, FINANCE & FACILITIE
Phone: (937) 436-6885
Updated
Certification Date
Dec 23, 2020

Note: NPPES allows providers to attest to the accuracy of their NPI data. When a provider request any change to the NPI record, they will be able to attest to their changed NPI data, resulting in an updated certification date.

Taxonomy Code(s)

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.