OrganizationActive
I Am Boundless, Inc
NPI 1861075707 · Intellectual Disabilities Intermediate Care Facility · Mansfield, OH
Provider details
- NPI number
- 1861075707
- Entity type
- Organization
- Primary specialty
- Intellectual Disabilities Intermediate Care FacilityNursing & Custodial Care Facilities
- Parent organization
- I Am Boundless, Inc.
- Organization subpart
- Yes
- Authorized official
- Michelle Barner, Reimbursement Manager(614) 844-3800
Specialties & taxonomies
Nursing & Custodial Care Facilities
Profile Score
Established profile(62/100 index)
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure38% of score
5 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
592 Evelyn Ave
Mansfield, OH 44907-1787
Phone: (614) 844-3800
Street-level locationGet directions
Mailing address
445 E Dublin Granville Rd
Worthington, OH 43085-3192
Other names (DBA / former)
- Other name
- Evelyn Avenue Home
Registry dates
- Enumerated
- 2021-04-29
- Last updated
- 2021-04-29
- Certified
- 2021-04-01
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.