Healthcare Provider Details

I. General information

NPI: 1720606031
Provider Name (Legal Business Name): BALANCED HOME CARE LLC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 07/13/2020
Last Update Date: 07/14/2020
Certification Date: 07/14/2020
Deactivation Date:
Reactivation Date:

III. Provider practice location address

709 CARVER AVE
MURFREESBORO TN
37130-0747
US

IV. Provider business mailing address

709 CARVER AVE
MURFREESBORO TN
37130-0747
US

V. Phone/Fax

Practice location:
  • Phone: 615-810-2220
  • Fax:
Mailing address:
  • Phone: 615-810-2220
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code374U00000X
TaxonomyHome Health Aide
License Number
License Number State
# 2
Primary TaxonomyN
Taxonomy Code376J00000X
TaxonomyHomemaker
License Number
License Number State

VIII. Authorized Official

Name: MS. EBONY N SUMMERS
Title or Position: OWNER/CEO
Credential:
Phone: 615-810-2200