NPIMap

Organization Active NPI

I Am Boundless, Inc.

  • Intellectual Disabilities Intermediate Care Facility
  • Mineral Ridge, OH
National Provider Identifier
1295466027
Registry record updated Jun 22, 2022
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
1960 E County Line Rd Ste 12
Mineral Ridge, OH 44440-9454
Phone
(330) 596-1042
NPI assigned
Jun 22, 2022
Organization subpart
Yes
Parent organization
I AM BOUNDLESS, INC.As reported in NPPES

NPPES NPI Registry

Updated by the provider on Jun 22, 2022

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

Authorized official

Name
Michelle Barner
Title
Reimbursement Manager
Phone
(614) 844-3800

Specialties & licenses 1

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

Addresses

Primary practice location

1960 E County Line Rd Ste 12
Mineral Ridge, OH 44440-9454

Mailing address

445 E Dublin Granville Rd
Worthington, OH 43085-3192
Phone (614) 844-3800

Other names 1

  • Mahoning Valley Campus of Care 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

Locations

1960 E County Line Rd
Ste 12
Mineral Ridge, OH 44440
Phone (330) 571-9458

NPI Registry JSON

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

{
    "created_epoch": "1655856000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1655856000000",
    "number": "1295466027",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "445 E DUBLIN GRANVILLE RD",
            "city": "WORTHINGTON",
            "state": "OH",
            "postal_code": "430853192",
            "telephone_number": "614-844-3800"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1960 E COUNTY LINE RD STE 12",
            "city": "MINERAL RIDGE",
            "state": "OH",
            "postal_code": "444409454",
            "telephone_number": "330-596-1042"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "I AM BOUNDLESS, INC.",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "I AM BOUNDLESS, INC.",
        "enumeration_date": "2022-06-22",
        "last_updated": "2022-06-22",
        "certification_date": "2022-06-22",
        "status": "A",
        "authorized_official_last_name": "BARNER",
        "authorized_official_first_name": "MICHELLE",
        "authorized_official_title_or_position": "REIMBURSEMENT MANAGER",
        "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": "Mahoning Valley Campus of Care",
            "code": "5",
            "type": "Other Name"
        }
    ]
}

Other providers in Mineral Ridge, OH

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 22, 2022; 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.