I AM BOUNDLESS, INC. - NPI 1013555408 - Intermediate Care Facility, Intellectual Disabilities in Mansfield, OH

Q: What is the provider's specialty?

The provider's specialty is Intermediate Care Facility, Intellectual Disabilities with taxonomy code 315P00000X.

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About I Am Boundless, Inc. NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

I AM BOUNDLESS, INC. (NPI 1013555408) is a healthcare organization registered as an intermediate care facility, intellectual disabilities in Mansfield, Ohio and active in the NPI registry since December 2019. The organization holds a CLIA Waiver certificate valid through August 31, 2026 and lists Terra Curtis, Ar Supervisor, as its authorized official.

NPPES Registry Identity

NPI1013555408

Entity TypeOrganization

Primary Taxonomy315P00000X

Legal Business NameI AM BOUNDLESS, INC.

Location Address786 FERNDALE RDMansfield, OH 44907-1757

Mailing Address445 E Dublin Granville Rd Ste GWorthington, OH 43085-3183

Phone(614) 844-3800

Organization SubpartYes

Authorized OfficialTerra CurtisAr Supervisor · (614) 844-3800

Enumeration DateDecember 16, 2019

✔ NPI 1013555408 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyIntermediate Care Facility, Intellectual DisabilitiesNursing & Custodial Care Facilities

Taxonomy Code315P00000X

Definition

An intermediate care facility providing services for individuals with intellectual disabilities.

786 FERNDALE RD, Mansfield, OH 44907

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Other Names 1

Other NameCherry Hill Home

CLIA Laboratory Certificates CMS CLIA

Laboratory certificates issued under the Clinical Laboratory Improvement Amendments (CLIA) program, which sets federal quality standards for human laboratory testing in the United States. There is no official CMS crosswalk between CLIA and NPI numbers; these certificates are associated with this NPI by matching facility names, locations and phone numbers in the CMS CLIA registry.

Certificate of Waiver 36D0860777

I Am Boundless, Inc · Worthington, OH

Active · expires Aug 31, 2026

CLIA Number36D0860777

Laboratory TypeIntermediate Care Facility For Mentally Retarded

Certificate Effective DateSeptember 1, 2024

Certificate Expiration DateAugust 31, 2026

Laboratory DirectorTammy M. Battle

Laboratory Phone(614) 844-3600

Laboratory LocationI Am Boundless, Inc445 East Dublin Granville Road Building G, Worthington, OH 43085

CLIA data matches this NPI record on: Name

This certificate is issued to a laboratory to perform only waived tests.

Other Providers at the Same Location NPPES 6

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

COUNTY OF RICHLAND

Community Based Residential Treatment Facility, Intellectual and/or Developmental Disabilities