Organization Active NPI

In Balance Ranch Academy , Inc.

  • Comprehensive Outpatient Rehabilitation Facility (CORF)
  • Huachuca City, AZ
National Provider Identifier
1487301941
Registry record updated Jul 28, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Comprehensive Outpatient Rehabilitation Facility (CORF)Taxonomy code 261QR0401X
Legal business name
IN BALANCE RANCH ACADEMY , INC.
Practice address
3331 N in Balance Rd
Huachuca City, AZ 85616-8318
Phone
(520) 722-9631
NPI assigned
Mar 4, 2022
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jul 28, 2023

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

Authorized official

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

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Adolescent and Children Mental Health Clinic/Center 261QM0855X
Comprehensive Outpatient Rehabilitation Facility (CORF) 261QR0401X Primary
Children's Substance Abuse Rehabilitation Facility 3245S0500X

Addresses

Primary practice location

3331 N in Balance Rd
Huachuca City, AZ 85616-8318

Mailing address

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

National Provider Directory

National Provider Directory
Tax ID family
In Balance Ranch Academy Inc3 organizations share this tax ID, including this one

Other organizations with this tax ID 2

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": "1646352000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1690502400000",
    "number": "1487301941",
    "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": "3331 N IN BALANCE RD",
            "city": "HUACHUCA CITY",
            "state": "AZ",
            "postal_code": "856168318",
            "telephone_number": "520-722-9631"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "IN BALANCE RANCH ACADEMY , INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2022-03-04",
        "last_updated": "2023-07-28",
        "certification_date": "2023-07-28",
        "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",
        "authorized_official_credential": "MPA, MLS"
    },
    "taxonomies": [
        {
            "code": "261QM0855X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Adolescent and Children Mental Health",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "261QR0401X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Rehabilitation, Comprehensive Outpatient Rehabilitation Facility (CORF)",
            "state": null,
            "license": null,
            "primary": true
        },
        {
            "code": "3245S0500X",
            "taxonomy_group": "",
            "desc": "Substance Abuse Rehabilitation Facility, Substance Abuse Treatment, Children",
            "state": null,
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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 Jul 28, 2023; 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.