Graceworks Lutheran Services
Skilled Nursing Facility in Dayton, OH. Organization (NPI-2).
NPI number1033201611
StatusActive
Last updated in NPPESMar 25, 2024
Details
- NPI
- 1033201611
- Entity type
- Organization (NPI-2)
- Legal business name
- Graceworks Lutheran Services
- Organization subpart
- No
- Enumeration date
- Sep 29, 2006
- Certification date
- Mar 25, 2024
- Last updated
- Mar 25, 2024
Medicare and OIG
- Medicare enrolled (PECOS)
- Yes · PART A PROVIDER - SKILLED NURSING FACILITY
- Can order and refer
- Not on the CMS order and referring list
- OIG exclusion list
- This NPI is not listed
CMS and OIG files of November 2026. PECOS lookup · OIG exclusion check
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 314000000X | Skilled Nursing Facility | 0632N | OH | Yes |
Other names
- Bethany Village (Doing Business As)
Practice location
6451 Far Hills AveDayton, OH 45459-2725
Phone 937-433-2110
Mailing address
6451 Far Hills AveDayton, OH 45459-2725
Phone 937-433-2110
Authorized official
Robert A Reichard
Vice President, Finance
9374366865
Is something wrong?
This page shows exactly what the provider filed with NPPES. Only the provider (or their surrogate) can change it, by signing in to NPPES. Our page updates within a day of their change. See how to update NPI information.
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