QUEEN CITY
NPI 1679160725
Residential Treatment Facility, Intellectual and/or Developmental Disabilities in Cincinnati, OH
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
Specialties & Licenses
Other Names 1
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, OHFrequently 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 weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 5 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.
# Queen City · NPI 1679160725
Residential Treatment Facility, Intellectual and/or Developmental Disabilities organization in Cincinnati, Ohio. Organization record, active in the CMS NPPES registry since December 23, 2020.
## Identity
- **NPI:** 1679160725 (Entity type: Organization)
- **Enumerated:** December 23, 2020
- **Primary specialty:** Residential Treatment Facility, Intellectual and/or Developmental Disabilities · taxonomy 320600000X
- **Legal business name:** Graceworks Enahnced Living
- **Organization subpart:** Yes (part of Graceworks Enhanced Living)
- **Authorized official:** Michael Allen, VICE PRESIDENT, FINANCE & FACILITIE
## Practice location
- **Address:** 3040 QUEEN CITY AVE, Cincinnati, OH 45238-2489
- **Phone:** (513) 954-0906
## Record status
- **NPPES last updated:** December 23, 2020
- **CLIA laboratory certificates:** 1 on file
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Source: [NPI Profile](https://npiprofile.com/npi/1679160725) · Data from the CMS NPPES public registry.