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General NPI Number Information
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NPI Number | 1356640247
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Entity Type | Organization
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Legal Business Name | NO BOUNDS CARE INC.
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Dates
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Enumeration Date | 03/18/2011
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Last Update Date | 03/03/2023
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Provider Practice Location Address
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Address Line | 615 E 6TH ST # 102103
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City | CHARLOTTE
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State | NC
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Zip | 28202-2918
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Country | US
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Telephone | 704-258-6366
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Fax |
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Provider Business Mailing Address
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Address Line | 10820 TRADITION VIEW DR
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City | CHARLOTTE
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State | NC
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Zip | 28269-1421
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Country | US
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Telephone |
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Fax |
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Authorized Official
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Title or Position | PROGRAM DIRECTOR/ QM DIRECTOR
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Name | MS. VELDA SIMMONS
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Credential |
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Telephone | 704-548-2445
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 251B00000X
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Taxonomy Name | Case Management Agency
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License Number |
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License Number State |
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Taxonomy #2
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Taxonomy Code | 251S00000X
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Taxonomy Name | Community/Behavioral Health Agency
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License Number |
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License Number State |
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Taxonomy #3
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Taxonomy Code | 253Z00000X
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Taxonomy Name | In Home Supportive Care Agency
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License Number |
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License Number State |
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Taxonomy #4
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Taxonomy Code | 320600000X
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Taxonomy Name | Intellectual and/or Developmental Disabilities Residential Treatment Facility
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License Number |
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License Number State |
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Taxonomy #5
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Taxonomy Code | 322D00000X
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Taxonomy Name | Emotionally Disturbed Childrens' Residential Treatment Facility
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License Number |
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License Number State |
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Taxonomy #6
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Taxonomy Code | 323P00000X
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Taxonomy Name | Psychiatric Residential Treatment Facility
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License Number |
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License Number State |
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Taxonomy #7
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Taxonomy Code | 302F00000X
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Taxonomy Name | Exclusive Provider Organization
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License Number | 251S00000X
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License Number State | NC
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