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I AM BOUNDLESS INC. NPI 1013555408


NPI Information

NPI: 1013555408
Provider Name: I AM BOUNDLESS, INC.
Classification: Intermediate Care Facility, Mentally Retarded - 315P00000X
Entity Type: Organization

CLIA Number: 36D0860777

Address:
786 FERNDALE RD
MANSFIELD, OH
ZIP 44907
Phone: (614) 844-3800
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I AM BOUNDLESS, INC. is an intermediate care facility mentally retarded in Mansfield, OH. The provider is (1) A public institution for care of the mentally retarded or people with related conditions. (2) An institution giving active treatment to mentally retarded or developmentally disabled persons or persons with related conditions. The primary purpose of the institution is to provide health or rehabilitative services to such individuals. I AM BOUNDLESS, INC. NPI is 1013555408. The provider is registered as an organization entity type.

The provider's business location address is:

786 FERNDALE RD
MANSFIELD, OH
ZIP 44907-757
Phone: (614) 844-3800

The provider's authorized official is Terra Curtis .
The authorized official title is Ar Supervisor and has the following contact phone number (614) 844-3800.

The CLIA number assigned to this NPI record is 36D0860777 - other with a certificate type of Certificate of Waiver.

The enumeration date for this NPI number is 12/16/2019 and was last updated on 12/16/2019.


Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No.Taxonomy CodeTaxonomy ClasificationTaxonomy SpecializationLicense NumberLicense StatePrimary
1315P00000XIntermediate Care Facility, Mentally RetardedYes

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 11/14/2023

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