Unbound Horizon Outpatient Service LLC

Primary specialty

Physician AssistantTaxonomy code 363A00000X

Legal business name

UNBOUND HORIZON OUTPATIENT SERVICE LLC

Practice address

2929 S Grand Ave
Carthage, MO 64836-7803

Phone

(417) 540-4915

NPI assigned

Jan 19, 2026

Organization subpart

No

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name

Asefa Gebre, PHYSICIAN ASSISTANTNPI 1700245628

Title

Owner

Phone

(417) 540-4915

Specialties & licenses 2

Addresses

Medicare fee-for-service enrollment

Enrolled in MO

Enrollment records 1

Practitioners 2

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Asefa K Gebre, PSYCH CAQ DMSC,PA-C

  • Physician Assistant
  • Carthage, MO
  • NPI 1700245628
  Medicare reassignment Care Compare group NPD Authorized official
• Susan Kay Matthews

  • Mental Health Counselor
  • Joplin, MO
  • NPI 1154691574
  Medicare reassignment Care Compare group NPD

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1768780800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1778803200000",
    "number": "1003775792",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2929 S GRAND AVE",
            "city": "CARTHAGE",
            "state": "MO",
            "postal_code": "648367803",
            "telephone_number": "417-540-4915"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2929 S GRAND AVE",
            "city": "CARTHAGE",
            "state": "MO",
            "postal_code": "648367803",
            "telephone_number": "417-540-4915"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "UNBOUND HORIZON OUTPATIENT SERVICE LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2026-01-19",
        "last_updated": "2026-05-15",
        "certification_date": "2026-05-15",
        "status": "A",
        "authorized_official_last_name": "GEBRE",
        "authorized_official_first_name": "ASEFA",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "417-540-4915",
        "authorized_official_credential": "PHYSICIAN ASSISTANT"
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Counselor, Mental Health",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "363A00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Physician Assistant",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Carol Thompson, RPH
• Sara E Thompson
• Elizabeth Marie Tressler, COTA
• William Park Triplett, MD
• Kurt Ummel, PHARM D
• Delores A. Vandergrift, FNP
• Meghan Lynn Vanslyke, RD
• Charles Davin Vaughn, RPH
• Johnny L Venter, DO
• Vitas Laboratory LLC

• Physician Assistant in Carthage, MO
• Providers in Carthage, MO by specialty
• Physician Assistant in Missouri

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 15, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.