Is this information incorrect? This page shows public data from NPPES. Update your record in NPPES and this page will update automatically within 7 days.
Organization
BOUNDLESS POTENTIAL LLC
Active
Organization
BOUNDLESS POTENTIAL LLC
Active
Parent organization
BOUNDLESS POTENTIAL LLC
Other names
SISTER'S PLACE GROUP HOME I
Organization subpart
Yes
Provider details
NPI number
Legal business name
BOUNDLESS POTENTIAL LLC
Authorized official
MRS. DEBORAH MALONE RALPH LCSW (DIRECTOR OF CLINICAL SERVICES)
(804) 901-3122
Entity
Organization
Contact information
Practice address
1005 TELEGRAPH STATION LN, GLEN ALLEN, VA 23060-4006
(804) 864-9001
(804) 864-9002
Mailing address
PO BOX 15238, RICHMOND, VA 23227-0638
(804) 261-5577
(804) 261-5574
Taxonomy
Speciality
Code
Description
License number
State
322D00000X
Emotionally Disturbed Childrens' Residential Treatment Facility
Primary
SS-04-09
VA
322D00000X
Emotionally Disturbed Childrens' Residential Treatment Facility
SS-212-07
VA
Other
Enumeration date
02/04/2007
Last updated
08/04/2008
About Stedi
Stedi is the only programmable healthcare clearinghouse. You can use Stedi's APIs to process eligibility checks, claims, remits, and more.
Sign upProduct
Developers