Provider Demographics
NPI:1942413091
Name:I BELIEVE IN ME RANCH
Entity Type:Organization
Organization Name:I BELIEVE IN ME RANCH
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:EXECUTIVE DIRECTOR
Authorized Official - Prefix:
Authorized Official - First Name:HEATHER
Authorized Official - Middle Name:R
Authorized Official - Last Name:HASCALL
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:308-236-7145
Mailing Address - Street 1:2041 E 56TH ST
Mailing Address - Street 2:
Mailing Address - City:KEARNEY
Mailing Address - State:NE
Mailing Address - Zip Code:68847-4179
Mailing Address - Country:US
Mailing Address - Phone:308-236-7145
Mailing Address - Fax:308-236-7150
Practice Address - Street 1:21252 ANTELOPE RD
Practice Address - Street 2:
Practice Address - City:PLEASANTON
Practice Address - State:NE
Practice Address - Zip Code:68866-3023
Practice Address - Country:US
Practice Address - Phone:308-236-7145
Practice Address - Fax:308-236-7150
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2007-05-07
Last Update Date:2009-10-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NEMHC028323P00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes323P00000XResidential Treatment FacilitiesPsychiatric Residential Treatment Facility
Provider Identifiers
StateIdentifier IDID TypeIssuer
NE=========29Medicaid