BOUNDLESS MIRACLES, LLC (NPI# 1831332691) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1831332691 |
| Entity Type | Organization |
| Organization Name | BOUNDLESS MIRACLES, LLC |
| Practice Address |
820 S Post Rd Shelby NC 28152-6931 |
| Mailing Address |
820 S Post Rd Ste A Shelby NC 28152-6931 |
| Practice Telephone | 7044069813 |
| Practice Fax Number | 7044069857 |
| Mailing Telephone | 7044069813 |
| Mailing Fax Number | 7044069857 |
| Enumeration Date | 2009-04-09 |
| Last Update Date | 2018-04-23 |
| Authorized Official Name | MR. RONALD KEITH CHURCH (OWNER / CEO) |
| Authorized Official Telephone | 7046924700 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 320900000X | Community Based Residential Treatment, Mental Retardation and/or Developmental Disabilities | Residential Treatment Facilities | ||
| Y | 251S00000X | Community/Behavioral Health | Agencies |
| Street Address |
820 S POST RD |
| City | SHELBY |
| State | NC |
| Zip Code | 28152-6931 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1831720820 | The Kid Guru, LLC | Community/Behavioral Health | 6852 Landor Drive, Shelby, NC 28152 | 2020-01-29 |
| 1609370568 | Crossroads Treatment Center of Cleveland County, PC | Community/Behavioral Health | 1895 E Dixon Blvd, Shelby, NC 28152 | 2018-03-23 |
| 1184166944 | Collette Scruggs | Counselor | 200-2 South Post Road, Shelby, NC 28152 | 2016-11-10 |
| 1902277981 | Angela Hamilton Jones | Social Worker | 1243 East Dixon Blvd., Suite 4, Shelby, NC 28152 | 2015-10-15 |
| 1982002614 | Gillian Aloisia Squillacioti | Counselor | 1635 S Dekalb St, Apt 109, Shelby, NC 28152 | 2014-12-11 |
| 1578963765 | Lucy Mcdaniel | Nurse Practitioner | 200 South Post Road, Shelby, NC 28152 | 2014-08-26 |
| 1689086332 | Stanley Todd Bilin | Marriage & Family Therapist | 1243-4 East Dixon Blvd, Shelby, NC 28152 | 2014-05-29 |
| 1144512872 | Sydney M Phipps | Counselor | 1201 S Post Rd # 100, Shelby, NC 28152 | 2011-05-13 |
| 1659602928 | Katherine Ruthsatz Kjergaard | Physician Assistant | 105 East College Street, Shelby, NC 28152 | 2010-01-26 |
| 1407099229 | Cnc / Access, Inc. | Community/Behavioral Health | 1165 Country Home Road, Shelby, NC 28152 | 2009-04-09 |
| Find all providers in zip 28152 | ||||
| Taxonomy Code | 251S00000X |
| Grouping | Agencies |
| Classification | Community/Behavioral Health |
| A private or public agency usually under local government jurisdiction, responsible for assuring the delivery of community based mental health, mental retardation, substance abuse and/or behavioral health services to individuals with those disabilities. Services may range from companion care, respite, transportation, community integration, crisis intervention and stabilization, supported employment, day support, prevocational services, residential support, therapeutic and supportive consultation, environmental modifications, intensive in-home therapy and day treatment, in addition to traditional mental health and behavioral treatment. |
| Notes: Source: National Medicaid EDI HIPAA NPI Sub Work Group [1/1/2007: modified definition] |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1831720820 | The Kid Guru, LLC | Community/Behavioral Health | 6852 Landor Drive, Shelby, NC 28152 | 2020-01-29 |
| 1205323078 | Focused Care, Inc | Community/Behavioral Health | 834 Churchill Dr, Shelby, NC 28150 | 2018-04-17 |
| 1720585995 | Momentum Ministries, Inc. | Community/Behavioral Health | 1114 S Lafayette St, Shelby, NC 28152-6708 | 2018-04-12 |
| 1609370568 | Crossroads Treatment Center of Cleveland County, PC | Community/Behavioral Health | 1895 E Dixon Blvd, Shelby, NC 28152 | 2018-03-23 |
| 1700258464 | Momentum Ministries, Inc. | Community/Behavioral Health | 1050 Sam Lattimore Rd, Shelby, NC 28152-0536 | 2015-10-21 |
| 1831578772 | Life Provisions, LLC | Community/Behavioral Health | 111 Carriage Ct, Shelby, NC 28150-8412 | 2015-05-26 |
| 1992113260 | Alexander Youth Network - Pass Day Treatment | Community/Behavioral Health | 1701 Charles Road, Shelby, NC 28185-3460 | 2014-07-30 |
| 1851636849 | Amazing Minds Theraptic Care | Community/Behavioral Health | 707 S Lafayette St, Suite 1 & 2, Shelby, NC 28150-5819 | 2012-12-03 |
| 1962762542 | Fortress Behavioral Services Inc | Community/Behavioral Health | 836 Churchill Dr, Shelby, NC 28150-6006 | 2012-05-17 |
| 1659630416 | Hope Support Systems Inc | Community/Behavioral Health | 6 Bolt Dr, Shelby, NC 28150-4024 | 2012-05-14 |
| Find all providers in SHELBY | ||||
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| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.