QUEEN CITY
NPI 1679160725
Residential Treatment Facility, Intellectual and/or Developmental Disabilities in Cincinnati, OH

Active since December 23, 2020CLIA 36D2178707 · Waiver
3040 QUEEN CITY AVE, CINCINNATI, OH 45238(513) 954-0906 Get Directions Write a Review

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

About Queen City NPPES

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

QUEEN CITY (NPI 1679160725) is a healthcare organization registered as a residential treatment facility, intellectual and/or developmental disabilities in Cincinnati, Ohio and active in the NPI registry since December 2020. The organization holds a CLIA Waiver certificate valid through February 6, 2028 and lists Michael W Allen, Vice President, Finance & Facilitie, as its authorized official.

NPPES Registry Identity

NPI1679160725
Entity TypeOrganization
Primary Taxonomy320600000X
Legal Business NameGRACEWORKS ENAHNCED LIVING
Location Address3040 QUEEN CITY AVECincinnati, OH 45238-2489
Mailing Address11370 Springfield PikeCincinnati, OH 45246-4202
Organization SubpartYesParent: Graceworks Enhanced Living
Authorized OfficialMichael W AllenVice President, Finance & Facilitie · (937) 436-6885
Enumeration DateDecember 23, 2020
NPPES CertifiedDecember 23, 2020
NPI 1679160725 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.

3040 QUEEN CITY AVE, Cincinnati, OH 45238

Other Names 1

Doing Business AsQueen City

CLIA Laboratory Certificates CMS CLIA

Laboratory certificates issued under the Clinical Laboratory Improvement Amendments (CLIA) program, which sets federal quality standards for human laboratory testing in the United States. There is no official CMS crosswalk between CLIA and NPI numbers; these certificates are associated with this NPI by matching facility names, locations and phone numbers in the CMS CLIA registry.

Certificate of Waiver 36D2178707

Queen City Dialysis · Cincinnati, OH
Active · expires Feb 6, 2028
CLIA Number36D2178707
Laboratory TypeEnd Stage Renal Disease Dialysis Facility
Certificate Effective DateFebruary 7, 2026
Certificate Expiration DateFebruary 6, 2028
Laboratory DirectorR Geoffrey Motz
Laboratory Phone(513) 347-3626
Laboratory LocationQueen City Dialysis2290 Ferguson Rd, Cincinnati, OH 45238
CLIA data matches this NPI record on: Name
This certificate is issued to a laboratory to perform only waived tests.

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 Enahnced Living's NPI number?

The NPI number for Graceworks Enahnced Living is 1679160725. It was assigned to this organization in the NPPES registry on December 23, 2020. The provider is doing business as Queen City.

Where is Graceworks Enahnced Living located?

Graceworks Enahnced Living is located at 3040 Queen City Ave, Cincinnati, OH 45238. The listed phone number is (513) 954-0906.

What is Graceworks Enahnced Living's specialty?

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

Does Graceworks Enahnced Living hold a CLIA laboratory certificate?

Yes. A Certificate of Waiver (number 36D2178707) is associated with this NPI, valid through February 6, 2028. CLIA certificates authorize laboratory testing under the federal Clinical Laboratory Improvement Amendments program.

When was this NPI record last updated?

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