MEDICARE: I AM BOUNDLESS, INC.

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	323P00000X	Psychiatric Residential Treatment Facility

General Provider Information

NPI Number	:	1205714599
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	I AM BOUNDLESS, INC.

Provider Business Mailing Address
First Line	:	445 E DUBLIN GRANVILLE RD STE H
Second Line	:
City	:	WORTHINGTON
State	:	OH
Zip	:	43085-3192
Country	:	US
Telephone Number	:	614-844-3800
Fax Number	:	614-515-5779

Provider Business Practice Location Address
First Line	:	MCDOWELL PRTF 2
Second Line	:	4218-4228 MCDOWELL ROAD
City	:	GROVE CITY
State	:	OH
Zip	:	43123
Country	:	US
Telephone Number	:	614-844-3800
Fax Number	:	614-515-5779

Authorized Official
Title or Position	:	CONTRACTING & CREDENTIALING MANAGER
Name	:	LAURIE B HICKMAN
Credential	:
Telephone Number	:	614-844-3800

Provider Enumeration Date	:	08/25/2025
Last Update Date	:	08/25/2025

Similar Medicare Providers

1053990820 — GRACE RICHARDSON
Practice Location Address:

3774 BROADWAY
GROVE CITY, OH
43123-2235

Practice Phone: 513-272-2800
Practice Fax:

1851899942 — EMMA COMPTON LISW
Practice Location Address:

5665 HOOVER RD
GROVE CITY, OH
43123

Practice Phone: 614-875-2371
Practice Fax:

1871450056 — EUGENIA APPIAH
Practice Location Address:

2695 HOLT RD
GROVE CITY, OH
43123-9688

Practice Phone: 614-801-8025
Practice Fax:

1336733088 — CARRIAGE COURT OF GROVE CITY
Practice Location Address:

2320 SONORA DR
GROVE CITY, OH
43123-2423

Practice Phone: 614-929-2518
Practice Fax:

1780687871 — DR. STEVEN GROSSMAN DPM
Practice Location Address:

4068 GANTZ RD
GROVE CITY, OH
43123-4816

Practice Phone: 614-539-0200
Practice Fax: 614-317-7392

1245234806 — DR. JERAULD D FERRITTO JR. D.P.M.
Practice Location Address:

3774 BROADWAY
GROVE CITY, OH
43123-2235

Practice Phone: 614-875-8211
Practice Fax: 614-875-0769

1114922127 — DR. LAWRENCE A GILL OD
Practice Location Address:

3814 BROADWAY
GROVE CITY, OH
43123

Practice Phone: 614-871-2080
Practice Fax: 614-871-1301

Directions to “I AM BOUNDLESS, INC. ” Practice Location

Language	Start Address	Practice Location

These directions are for planning purposes only. You may find that construction projects, traffic, or other events may cause road conditions to differ from the map results.

Copyright © 2007-2026 (Powered by Swiss Vault Engine), all rights reserved. HIPAA liability, trademark, document use and software licensing rules apply. All registered trademarks, used in the content, are the property of their owners. Your interactions with this site are in accordance with our Terms of Use and Privacy Policy.