NPIMap

Organization Active NPI

I Am Boundless, Inc.

  • Intellectual Disabilities Intermediate Care Facility
  • Mansfield, OH
National Provider Identifier
1013555408
Registry record updated Dec 16, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
Intellectual Disabilities Intermediate Care FacilityTaxonomy code 315P00000X
Legal business name
I AM BOUNDLESS, INC.
Practice address
786 Ferndale Rd
Mansfield, OH 44907-1757
Phone
(614) 844-3800
NPI assigned
Dec 16, 2019
Organization subpart
Yes
Parent organization
I AM BOUNDLESS, INC.As reported in NPPES

NPPES NPI Registry

Updated by the provider on Dec 16, 2019

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

Authorized official

Name
Terra Curtis
Title
Ar Supervisor
Phone
(614) 844-3800

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Intellectual Disabilities Intermediate Care Facility 315P00000X Primary

Addresses

Primary practice location

786 Ferndale Rd
Mansfield, OH 44907-1757

Mailing address

445 E Dublin Granville Rd Ste G
Worthington, OH 43085-3183

Other names 1

  • Cherry Hill Home Other name

National Provider Directory

National Provider Directory
Tax ID family
I Am Boundless Inc31 organizations share this tax ID, including this one
Part of
I Am Boundless Inc

Other organizations with this tax ID 30

Organizations that report the same tax identification number in the National Provider Directory.

View all 30

NPI Registry JSON

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

{
    "created_epoch": "1576454400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1576454400000",
    "number": "1013555408",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "445 E DUBLIN GRANVILLE RD STE G",
            "city": "WORTHINGTON",
            "state": "OH",
            "postal_code": "430853183"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "786 FERNDALE RD",
            "city": "MANSFIELD",
            "state": "OH",
            "postal_code": "449071757",
            "telephone_number": "614-844-3800"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "I AM BOUNDLESS, INC.",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "I AM BOUNDLESS, INC.",
        "enumeration_date": "2019-12-16",
        "last_updated": "2019-12-16",
        "certification_date": "2019-12-16",
        "status": "A",
        "authorized_official_last_name": "CURTIS",
        "authorized_official_first_name": "TERRA",
        "authorized_official_title_or_position": "AR SUPERVISOR",
        "authorized_official_telephone_number": "614-844-3800"
    },
    "taxonomies": [
        {
            "code": "315P00000X",
            "taxonomy_group": "",
            "desc": "Intermediate Care Facility, Intellectual Disabilities",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Cherry Hill Home",
            "code": "5",
            "type": "Other Name"
        }
    ]
}

Other providers in Mansfield, OH

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 16, 2019; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.