OrganizationActive
Boundless Potential LLC
NPI 1598803124 · Emotionally Disturbed Childrens' Residential Treatment Facility · Glen Allen, VA
Provider details
- NPI number
- 1598803124
- Entity type
- Organization
- Primary specialty
- Emotionally Disturbed Childrens' Residential Treatment FacilityResidential Treatment Facilities
- Parent organization
- Boundless Potential LLC
- Organization subpart
- Yes
- Authorized official
- Deborah Ralph, Director of Clinical Services(804) 901-3122
- License
- SS-212-07 (VA)
Specialties & taxonomies
- Emotionally Disturbed Childrens' Residential Treatment FacilityPrimary322D00000XLicense SS-04-09 (VA)
Residential Treatment Facilities
Residential Treatment Facilities
Profile Score
Detailed profile(90/100 index)
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure38% of score
19 yrs in NPPES registry
- Profile completeness38% of score
100% of core fields populated
- Practice footprint23% of score
1 documented practice location
Signals a provider has no public data for (e.g. Medicare claims) are left out of the score entirely — never counted as zero — so providers without that data are not penalized. See the full formula and weights in our methodology.
Practice location
1005 Telegraph Station Ln
Glen Allen, VA 23060-4006
Phone: (804) 864-9001
Fax: (804) 864-9002
Street-level locationGet directions
Mailing address
Po Box 15238
Richmond, VA 23227-0638
Other names (DBA / former)
- Other name
- Sister'S Place Group Home I
Registry dates
- Enumerated
- 2007-02-04
- Last updated
- 2008-08-04
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.