Organization Active NPI

Ibatl, LLC

  • Mental Illness Community Based Residential Treatment Facility
  • Huachuca City, AZ
National Provider Identifier
1417747635
Registry record updated May 9, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Mental Illness Community Based Residential Treatment FacilityTaxonomy code 320800000X
Legal business name
IBATL, LLC
Practice address
3333 N in Balance Road
Building 1&2
Huachuca City, AZ 85616
Phone
(207) 505-0143
NPI assigned
May 9, 2025
Organization subpart
No

NPPES NPI Registry

Updated by the provider on May 9, 2025

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

Authorized official

Name
Anthony Barrasso
Title
Coo
Phone
(520) 722-9631

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Mental Illness Community Based Residential Treatment Facility 320800000X Primary

Addresses

Primary practice location

3333 N in Balance Road
Building 1&2
Huachuca City, AZ 85616

Mailing address

6107 E Grant Rd
Tucson, AZ 85712-5828
Phone (520) 722-9631

Other names 1

  • Align Origin Doing business as

National Provider Directory

National Provider Directory
Tax ID family
Align Origin2 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.

NPI Registry JSON

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

{
    "created_epoch": "1746748800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1746748800000",
    "number": "1417747635",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6107 E GRANT RD",
            "city": "TUCSON",
            "state": "AZ",
            "postal_code": "857125828",
            "telephone_number": "520-722-9631"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3333 N IN BALANCE ROAD",
            "address_2": "BUILDING 1&2",
            "city": "HUACHUCA CITY",
            "state": "AZ",
            "postal_code": "85616",
            "telephone_number": "207-505-0143"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "IBATL, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2025-05-09",
        "last_updated": "2025-05-09",
        "certification_date": "2025-04-30",
        "status": "A",
        "authorized_official_last_name": "BARRASSO",
        "authorized_official_first_name": "ANTHONY",
        "authorized_official_title_or_position": "COO",
        "authorized_official_telephone_number": "520-722-9631"
    },
    "taxonomies": [
        {
            "code": "320800000X",
            "taxonomy_group": "",
            "desc": "Community Based Residential Treatment Facility, Mental Illness",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Align Origin",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Huachuca City, AZ

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 9, 2025; 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.