Organization · Type 2 NPI
I Am Boundless, Inc
Intellectual Disabilities Intermediate Care Facility · Fairborn, OH
NPI number
1104700822
Active
Practice location
1460 Graceland Dr
Fairborn, OH 45324-4374
Fax (614) 515-5779
Mailing address
445 E Dublin Granville Rd Ste H
Worthington, OH 43085-3192
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Intellectual Disabilities Intermediate Care Facility Primary | 315P00000X | None listed |
Intellectual Disabilities Intermediate Care Facility: An intermediate care facility providing services for individuals with intellectual disabilities.
8 other providers at this address
- Beacon Specialized Living Ohio IncIntellectual and/or Developmental Disabilities Residential Treatment Facility Fairborn, OH NPI 1265131064
- Christoper HeriseCase Manager/Care Coordinator Fairborn, OH NPI 1598637712
- Joyce BurroughsCase Manager/Care Coordinator Fairborn, OH NPI 1063383461
- Julisa VicroyCase Manager/Care Coordinator Fairborn, OH NPI 1194697326
- Letese BurgCase Manager/Care Coordinator Fairborn, OH NPI 1053282442
- Mykalal ThompsonCase Manager/Care Coordinator Fairborn, OH NPI 1811868201
- Nakesha GaineyCase Manager/Care Coordinator Fairborn, OH NPI 1801768189
- Travishay KennedyCase Manager/Care Coordinator Fairborn, OH NPI 1780555029
Other intellectual disabilities intermediate care facility providers in Fairborn
About NPI 1104700822
I Am Boundless, Inc's National Provider Identifier is 1104700822, issued on Aug 5, 2025. The primary taxonomy on file is Intellectual Disabilities Intermediate Care Facility (315P00000X), and the practice location is in Fairborn, OH. The record was last updated on Aug 5, 2025.