1. Home
  2. Directory
  3. Ohio
  4. Beavercreek
  5. Residential Treatment Facility Intellectual And Or Developmental Disabilities
  6. NPI Profile

SHAKERTOWN
NPI 1053748731
Residential Treatment Facility, Intellectual and/or Developmental Disabilities in Beavercreek, OH

Active since September 26, 2013
3690 SHAKERTOWN RD, BEAVERCREEK, OH 45430(937) 912-5127(513) 612-6545 Get Directions Write a Review

NPPES record last updated: December 23, 2020. Verified against the NPPES registry weekly; last sync: July 26, 2026.

About Shakertown NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

SHAKERTOWN (NPI 1053748731) is a healthcare organization registered as a residential treatment facility, intellectual and/or developmental disabilities in Beavercreek, Ohio and active in the NPI registry since September 2013. The organization lists Michael W Allen, Vice President, Finance & Facilitie, as its authorized official.

NPPES Registry Identity

NPI1053748731
Entity TypeOrganization
Primary Taxonomy320600000X
Legal Business NameGRACEWORKS ENHANCED LIVING
Location Address3690 SHAKERTOWN RDBeavercreek, OH 45430-1425
Mailing Address11370 Springfield PikeCincinnati, OH 45246-4202 · (513) 612-6500 · Fax (513) 612-6545
Phone(937) 912-5127
Fax(513) 612-6545
Organization SubpartYes
Authorized OfficialMichael W AllenVice President, Finance & Facilitie · (937) 436-6885
Enumeration DateSeptember 26, 2013
Last NPPES UpdateDecember 23, 2020
NPPES CertifiedDecember 23, 2020
✔ NPI 1053748731 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyResidential Treatment Facility, Intellectual and/or Developmental DisabilitiesResidential Treatment Facilities
Taxonomy Code320600000X
Definition

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.

3690 SHAKERTOWN RD, Beavercreek, OH 45430
Open in Google Maps ↗

Other Names 1

Doing Business AsShakertown

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Graceworks Enhanced Living's NPI number?

The NPI number for Graceworks Enhanced Living is 1053748731. It was assigned to this organization in the NPPES registry on September 26, 2013. The provider is doing business as Shakertown.

Where is Graceworks Enhanced Living located?

Graceworks Enhanced Living is located at 3690 Shakertown Rd, Beavercreek, OH 45430. The listed phone number is (937) 912-5127.

What is Graceworks Enhanced Living's specialty?

The primary specialty registered for this NPI is Residential Treatment Facility, Intellectual and/or Developmental Disabilities with taxonomy code 320600000X.

When was this NPI record last updated?

The NPPES record for Graceworks Enhanced Living was last updated on December 23, 2020. NPI Profile syncs with the weekly NPPES data releases published by CMS.