Active NPI
In Balance Ranch Academy , Inc.
- Comprehensive Outpatient Rehabilitation Facility (CORF)
- Huachuca City, AZ
National Provider Identifier
1487301941
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Comprehensive Outpatient Rehabilitation Facility (CORF)
- 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
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) | Code | License | State | Primary |
|---|---|---|---|---|
| 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 Inc
Other organizations with this tax ID 2
Organizations that report the same tax identification number in the National Provider Directory.
-
- Addiction (Substance Use Disorder) Counselor
- Huachuca City, AZ
- NPI 1194409433
-
- Mental Illness Community Based Residential Treatment Facility
- Huachuca City, AZ
- NPI 1275327454
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.