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I AM BOUNDLESS, INC
NPI 1104700822
Intermediate Care Facility, Intellectual Disabilities in Fairborn, OH

Active since August 05, 2025
1460 GRACELAND DR, FAIRBORN, OH 45324(614) 844-3800(614) 515-5779 Get Directions Write a Review

NPPES record last updated: August 5, 2025. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About I Am Boundless, Inc NPPES

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

I AM BOUNDLESS, INC (NPI 1104700822) is a healthcare organization registered as an intermediate care facility, intellectual disabilities in Fairborn, Ohio and active in the NPI registry since August 2025. The organization lists Laurie B Hickman, Contracting & Credentialing Manager, as its authorized official.

NPPES Registry Identity

NPI1104700822
Entity TypeOrganization
Primary Taxonomy315P00000X
Legal Business NameI AM BOUNDLESS, INC
Location Address1460 GRACELAND DRFairborn, OH 45324-4374
Mailing Address445 E Dublin Granville Rd Ste HWorthington, OH 43085-3192 · (614) 844-3800 · Fax (614) 844-3800
Phone(614) 844-3800
Fax(614) 515-5779
Organization SubpartNo
Authorized OfficialLaurie B HickmanContracting & Credentialing Manager · (614) 844-3800
Enumeration DateAugust 5, 2025
NPPES CertifiedAugust 5, 2025
✔ NPI 1104700822 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.
1460 GRACELAND DR, Fairborn, OH 45324
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Other Providers at the Same Location NPPES 8

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

LETESE BURG
Case Manager/Care Coordinator
1460 GRACELAND DR
FAIRBORN, OH 45324
Greene County (614) 844-3800
JOYCE BURROUGHS
Case Manager/Care Coordinator
1460 GRACELAND DR
FAIRBORN, OH 45324
Greene County (614) 844-3800
JULISA VICROY
Case Manager/Care Coordinator
1460 GRACELAND DR
FAIRBORN, OH 45324
Greene County (614) 844-3800
BEACON SPECIALIZED LIVING OHIO INC
Residential Treatment Facility, Intellectual and/or Developmental Disabilities
1460 GRACELAND DR
FAIRBORN, OH 45324
Greene County (937) 874-5001
CHRISTOPER HERISE
Case Manager/Care Coordinator
1460 GRACELAND DR
FAIRBORN, OH 45324
Greene County (614) 844-3800
TRAVISHAY KENNEDY
Case Manager/Care Coordinator
1460 GRACELAND DR
FAIRBORN, OH 45324
Greene County (614) 844-3800
NAKESHA GAINEY
Case Manager/Care Coordinator
1460 GRACELAND DR
FAIRBORN, OH 45324
Greene County (614) 844-3800
MYKALAL THOMPSON
Case Manager/Care Coordinator
1460 GRACELAND DR
FAIRBORN, OH 45324
Greene County (614) 844-3800

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is I Am Boundless, Inc's NPI number?

The NPI number for I Am Boundless, Inc is 1104700822. It was assigned to this organization in the NPPES registry on August 5, 2025.

Where is I Am Boundless, Inc located?

I Am Boundless, Inc is located at 1460 Graceland Dr, Fairborn, OH 45324. The listed phone number is (614) 844-3800.

What is I Am Boundless, Inc's specialty?

The primary specialty registered for this NPI is Intermediate Care Facility, Intellectual Disabilities with taxonomy code 315P00000X.

When was this NPI record last updated?

The NPPES record for I Am Boundless, Inc was last updated on August 5, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 12 months ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.