Ranch Academy and Life Skills Center, Inc

Primary specialty

Local Education Agency (LEA)Taxonomy code 251300000X

Legal business name

RANCH ACADEMY AND LIFE SKILLS CENTER, INC

Practice address

3120 VZCR 2318
Canton, TX 75103-0000

Phone

(903) 939-8000

NPI assigned

Apr 16, 2014

Organization subpart

No

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name

Richard Boardman

Title

Assistant Ceo

Phone

(903) 939-8000

Specialties & licenses 1

Addresses

Other identifiers 1

Tax ID family

Ranch Academy and Life Skills Center Inc2 organizations share this tax ID, including this one

Other organizations with this tax ID 1

Organizations that report the same tax identification number in the National Provider Directory.

• Ranch Academy and Life Skills Center, Inc.

  • Local Education Agency (LEA)
  • Irving, TX
  • NPI 1073871398
  NPD tax ID

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1397606400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1397606400000",
    "number": "1306265491",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3120 VZCR 2318",
            "city": "CANTON",
            "state": "TX",
            "postal_code": "751030000"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3120 VZCR 2318",
            "city": "CANTON",
            "state": "TX",
            "postal_code": "751030000",
            "telephone_number": "903-939-8000"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "RANCH ACADEMY AND LIFE SKILLS CENTER, INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2014-04-16",
        "last_updated": "2014-04-16",
        "status": "A",
        "authorized_official_last_name": "BOARDMAN",
        "authorized_official_first_name": "RICHARD",
        "authorized_official_title_or_position": "ASSISTANT CEO",
        "authorized_official_telephone_number": "903-939-8000"
    },
    "taxonomies": [
        {
            "code": "251300000X",
            "taxonomy_group": "",
            "desc": "Local Education Agency (LEA)",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "234801",
            "state": "TX"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Amber Marie Perez-Erosa, LVN
• Nicole Pierce, RBT
• Karl Poff
• Rayan S Qazi, MD
• Quitman Hospital LLC
• Chris Reed, ND
• Tascha Reese, LCSW-S
• Renee Lynn Riffe, PT
• Caden Roberts
• Ashton Kemp Robison, M.S. CCC-SLP

• Local Education Agency (LEA) in Canton, TX
• Providers in Canton, TX by specialty
• Local Education Agency (LEA) in Texas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 16, 2014; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.