BOUNDLESS POTENTIAL LLC – NPI #1598803124
Residential Treatment Facility, Emotionally Disturbed Children

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.

Health Care Provider Taxonomy Code for Residential Treatment Facility, Emotionally Disturbed Children

BOUNDLESS POTENTIAL LLC is a residential treatment facility located in GLEN ALLEN, VA. NPPES has assigned the NPI number 1598803124 to BOUNDLESS POTENTIAL LLC on February 04, 2007. It is a Type-2 NPI, indicating this NPI number is associated with an organization. BOUNDLESS POTENTIAL LLC is also known by the name SISTER'S PLACE GROUP HOME I. The primary taxonomy selected by this provider is 322D00000X from the Health Care Provider Taxonomy code set, which is classified as Residential Treatment Facility, Emotionally Disturbed Children.

The NPI profile was previously updated about 18 years ago on Aug 04, 2008. Use the NPI data found here to bill health insurance companies, identify providers enrolled in Medicare and Medicaid services or other HIPAA compliant transactions. See the complete NPI profile for BOUNDLESS POTENTIAL LLC below.

NPI Profile for
BOUNDLESS POTENTIAL LLC

NPI Number
1598803124
Enumeration Date

(more than 19 years ago)
Entity Type
Type-2  Organization
Organization health care providers may have a single employee or thousands of employees. An example is an incorporated individual who is an organization's only employee.
Legal Name
BOUNDLESS POTENTIAL LLC
Other Name: SISTER'S PLACE GROUP HOME I
Primary location
1005 TELEGRAPH STATION LN
GLEN ALLEN, VA 23060-4006
Phone: (804) 864-9001 Fax: (804) 864-9002
Mailing address
PO BOX 15238
RICHMOND, VA 23227-0638
Phone: (804) 261-5577 Fax: (804) 261-5574
Organization Subpart
Yes - BOUNDLESS POTENTIAL LLC is subpart of another organization.
Authorized Official
DEBORAH RALPH
DIRECTOR OF CLINICAL SERVICES
Phone: (804) 901-3122
Updated
Identifiers

Identifiers for BOUNDLESS POTENTIAL LLC

Identifiers are used to associate other provider identifiers such as Medicaid or other insurers (ie:, Blue Cross, Blue Shield, Aetna, Kaiser-Permanente, etc.), with their NPI number. These identifiers can be used in matching an NPI number to an insurer's records. However, not all providers have such numbers and not all providers choose to include them in their NPI information.

DescriptionIssuerStateIdentifier
MEDICAIDVA00010231159
MEDICAIDVA008907757
Taxonomy Code(s)

A taxonomy code is a code that describes the health care service provider's type, classification, and the area of specialization. The primary specialty for this provider is indicated as (Primary) below.

Taxonomy Classification / Specialization State License
322D00000X
- Residential Treatment Facility, Emotionally Disturbed Children (Primary)		 VA SS-212-07

The taxonomy codes are selected by the provider at the time of NPI registration. Selection of a taxonomy code does not replace any credentialing or validation process that the provider requesting the code should complete.