Healthcare Provider Details

I. General information

NPI: 1588704449
Provider Name (Legal Business Name): BOUNDLESS CARE, INC.
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 02/08/2007
Last Update Date: 03/28/2025
Certification Date: 03/28/2025
Deactivation Date:
Reactivation Date:

III. Provider practice location address

5988 SILVER CREEK VALLEY RD STE 60
SAN JOSE CA
95138-1077
US

IV. Provider business mailing address

5988 SILVER CREEK VALLEY RD STE 60
SAN JOSE CA
95138-1077
US

V. Phone/Fax

Practice location:
  • Phone: 408-363-8900
  • Fax: 408-363-8900
Mailing address:
  • Phone: 408-363-2984
  • Fax: 408-363-8900

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code163WC0400X
TaxonomyCase Management Registered Nurse
License Number637598
License Number StateCA
# 2
Primary TaxonomyN
Taxonomy Code251B00000X
TaxonomyCase Management Agency
License Number2877163
License Number StateCA
# 3
Primary TaxonomyN
Taxonomy Code251F00000X
TaxonomyHome Infusion Agency
License Number637598
License Number StateCA
# 4
Primary TaxonomyN
Taxonomy Code251J00000X
TaxonomyNursing Care Agency
License Number2877163
License Number StateCA
# 5
Primary TaxonomyN
Taxonomy Code343900000X
TaxonomyNon-emergency Medical Transport (VAN)
License Number2877163
License Number StateCA
# 6
Primary TaxonomyN
Taxonomy Code3747A0650X
TaxonomyAttendant Care Provider
License Number2877163
License Number StateCA
# 7
Primary TaxonomyN
Taxonomy Code376K00000X
TaxonomyNurse's Aide
License Number2877163
License Number StateCA
# 8
Primary TaxonomyY
Taxonomy Code208D00000X
TaxonomyGeneral Practice Physician
License Number
License Number State

VIII. Authorized Official

Name: MARYVIVIAN M. ARANDA
Title or Position: PRESIDENT, CARE MANAGER
Credential: BSN RN
Phone: 408-363-8900