Organization Active NPI

Boundless Potentials LLC

  • Home Health Agency
  • Winter Park, FL
National Provider Identifier
1649417973
Registry record updated Jan 8, 2009
On this page

Key facts

NPPES NPI Registry
Primary specialty
Home Health AgencyTaxonomy code 251E00000X
Legal business name
BOUNDLESS POTENTIALS LLC
Practice address
427 S New York Ave
# 103
Winter Park, FL 32789-4277
Phone
(407) 668-7346
NPI assigned
Jan 8, 2009
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jan 8, 2009

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

Authorized official

Name
Mr. Timothy Elder
Title
President
Phone
(407) 668-7346

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Home Health Agency 251E00000X Primary

Addresses

Primary practice location

427 S New York Ave
# 103
Winter Park, FL 32789-4277

Mailing address

427 S New York Ave
# 103
Winter Park, FL 32789-4277
Phone (407) 668-7346

National Provider Directory

National Provider Directory

Locations

427 S New York Ave
Ste 103
Winter Park, FL 32789
Phone (407) 668-7346

NPI Registry JSON

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

{
    "created_epoch": "1231372800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1231372800000",
    "number": "1649417973",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "427 S NEW YORK AVE",
            "address_2": "# 103",
            "city": "WINTER PARK",
            "state": "FL",
            "postal_code": "327894277",
            "telephone_number": "407-668-7346"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "427 S NEW YORK AVE",
            "address_2": "# 103",
            "city": "WINTER PARK",
            "state": "FL",
            "postal_code": "327894277",
            "telephone_number": "407-668-7346"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "BOUNDLESS POTENTIALS LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2009-01-08",
        "last_updated": "2009-01-08",
        "status": "A",
        "authorized_official_last_name": "ELDER",
        "authorized_official_first_name": "TIMOTHY",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "407-668-7346",
        "authorized_official_name_prefix": "Mr."
    },
    "taxonomies": [
        {
            "code": "251E00000X",
            "taxonomy_group": "",
            "desc": "Home Health",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Winter Park, FL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 8, 2009; 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.