Organization
BOUNDLESS MIRACLES, LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. RONALD KEITH CHURCH (OWNER / CEO)
(704) 692-4700
Entity
Organization
Contact information
Practice address
820 S POST RD, SHELBY, NC 28152-6931
(704) 406-9813
(704) 406-9857
Mailing address
820 S POST RD STE A, SHELBY, NC 28152-6931
(704) 406-9813
(704) 406-9857
Taxonomy
Speciality
Code
Description
License number
State
251S00000X
Community/Behavioral Health Agency
Primary
—
—
320900000X
Intellectual and/or Developmental Disabilities Community Based Residential Treatment Facility
—
—
Other
Enumeration date
04/09/2009
Last updated
04/23/2018
Update your record
If you believe information in your NPPES record is inaccurate, or if you wish to update or deactivate your NPI, you can do so directly with CMS at https://nppes.cms.hhs.gov.
About Stedi
Stedi is the only programmable healthcare clearinghouse. You can use Stedi's APIs to process eligibility checks, claims, remits, and more.
Sign up