Boundless Potential, Llc in Richmond - Residential Treatment Facility, Emotionally Disturbed Children

Boundless Potential, Llc - NPI 1679601280

Boundless Potential, Llc is a Residential Treatment Facility, Emotionally Disturbed Children in Richmond, Virginia. Boundless Potential, Llc practices all healthcare services and medical treatments related to Residential Treatment Facility, Emotionally Disturbed Children. The NPI Number for Boundless Potential, Llc is 1679601280. The last update date is 2008-08-07.

Boundless Potential, Llc's current location address is 10204 Spinning Wheel Way, Richmond, Virginia. You can contact this provider via phone number 8048649001 and fax number 8048649002. The mailing address for Boundless Potential, Llc is 10204 Spinning Wheel Way, Richmond, Virginia. To know further, please read the information below!

Provider Profile Detail

Provider Organization Boundless Potential, Llc
Address 10204 Spinning Wheel Way, Richmond, Virginia
Phone Number 8048649001
Fax Number 8048649002
Sole Proprietor --
Credentials --

Authorized Official

Title or Position DIRECTOR O
Authorized Official Name Ralph Malone Deborah
Credentials L.C.S.W.
Telephone Number 8049013122

NPI Number Detail

NPI Number 1679601280
Provider Enumeration Date 2007-03-02
Last Updated Date 2008-08-07

Provider Mailing Address Detail

Address 10204 Spinning Wheel Way
City Richmond
State Virginia (VA)
Post Code 23233
Phone Number 8048649001
Fax Number 8048649002

Provider's Primary Taxonomy Detail

Speciality Residential Treatment Facility, Emotionally Disturbed Children
Taxonomy 322D00000X
Licence No 287-2006
Definition:
A residential facility that provides habilitation services and other care and treatment to children diagnosed with mental health illness, behavioral issues, and intellectual disabilities and are not able to live independently.

Provider's Other Legacy Identifiers

Identifier Identifier Type Identifier State Identifier Issuer
8907757 VA --
8907759 VA --
10231159 VA --

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FAQs about Boundless Potential, Llc

What is the unique 10-digit identifier code assigned to Boundless Potential, Llc by the Centers for Medicare & Medicaid Services?

The Boundless Potential, Llc has been issued the NPI (National Provider Identifier) 1679601280 by the CMS (Centers for Medicare & Medicaid Services), which serves as a unique identification number for healthcare providers.

Could you please share the complete physical location address where Boundless Potential, Llc's facilities are situated?

The facilities of Boundless Potential, Llc are physically located at the following address: 10204 Spinning Wheel Way, Richmond, VA, 23233.

What is the Boundless Potential, Llc's area of specialization and corresponding taxonomy classification?

The Boundless Potential, Llc's specialty field is Residential Treatment Facility, Emotionally Disturbed Children, and it falls under the taxonomy code 322D00000X, which categorizes healthcare providers based on their specialties.

On what date did the Boundless Potential, Llc receive the assignment of its 1679601280 from the Centers for Medicare & Medicaid Services?

The Boundless Potential, Llc was issued its 1679601280 by the Centers for Medicare & Medicaid Services on 2007-03-02.

As of what date were the Boundless Potential, Llc's details last updated?

The information pertaining to the Boundless Potential, Llc, including its address, specialty, and other details, was most recently updated on 2008-08-07.

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