Provider Demographics
NPI:1801371224
Name:THE RANCH, INC
Entity Type:Organization
Organization Name:THE RANCH, INC
Other - Org Name:THE RANCH
Other - Org Type:Doing Business As
Authorized Official - Title/Position:EXECUTIVE DIRECTOR
Authorized Official - Prefix:MR
Authorized Official - First Name:JASON
Authorized Official - Middle Name:MICHAEL
Authorized Official - Last Name:BARTH
Authorized Official - Suffix:
Authorized Official - Credentials:LCPC
Authorized Official - Phone:301-874-4701
Mailing Address - Street 1:PO BOX 42
Mailing Address - Street 2:
Mailing Address - City:BUCKEYSTOWN
Mailing Address - State:MD
Mailing Address - Zip Code:21717-0042
Mailing Address - Country:US
Mailing Address - Phone:301-874-4701
Mailing Address - Fax:
Practice Address - Street 1:7902 FINGERBOARD RD
Practice Address - Street 2:
Practice Address - City:FREDERICK
Practice Address - State:MD
Practice Address - Zip Code:21704-7629
Practice Address - Country:US
Practice Address - Phone:888-965-0597
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2018-10-02
Last Update Date:2023-09-12
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251S00000XAgenciesCommunity/Behavioral Health
No177F00000XOther Service ProvidersLodging
No324500000XResidential Treatment FacilitiesSubstance Abuse Rehabilitation Facility
Provider Identifiers
StateIdentifier IDID TypeIssuer
MD914299Medicaid