Sister'S Place Group Home Ii
LBN: Boundless Potential, Llc
Sister'S Place Group Home Ii is an health care organization with primary practice located at 10204 Spinning Wheel Way , Richmond VA 23233. The organization recently has only one registered license in Residential Treatment Facilities / Residential Treatment Facility, Emotionally Disturbed Children, which is considered as the primary health care specialty.
Boundless Potential, Llc can be contacted via phone (804) 864-9001, or through Ralph, Deborah Malone via phone (804) 901-3122.
Contact Information
Primary practice address
10204 Spinning Wheel Way
Richmond VA 23233
Phone: (804) 864-9001
Fax: (804) 864-9002
Website:
Authorized official contact:
Name: Ralph, Deborah Malone Licensed Clinical Social Worker (LCSW)
Phone: (804) 901-3122
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Residential Treatment Facilities / Residential Treatment Facility, Emotionally Disturbed Children | 322D00000X | 287-2006 | Virginia |
Profile Details
| NPI number | 1679601280 |
|---|---|
| LBN Legal business name | Boundless Potential, Llc |
| DBA Doing business as | Sister'S Place Group Home Ii |
| Authorized official | Ralph, Deborah Malone Licensed Clinical Social Worker (LCSW) |
| Entity | Organization |
| Organization subpart 1 | No |
| Enumeration date | Mar 2nd, 2007 |
| Last updated | Aug 7th, 2008 - about 16 years ago |
1 Some organizations, which are providing health care services, may consist of units or departments that provide different types of health care services or have several separate physical locations, where health care service is provided. These units, departments or physical locations are not themselves legal entities. However, each of them is part of the organization, which is a legal entity. The organization may decide whether its subparts, if it has any, should have their own NPI numbers. In case a subpart conducts any HIPAA standard transactions by itself, without its parent's involvement, it must have its own NPI number.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1679601280 | NPPES |
| Virginia | MEDICAID | 008907757 | |
| Virginia | MEDICAID | 008907759 | |
| Virginia | MEDICAID | 00010231159 |
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