Healthcare Provider Details

I. General information

NPI: 1265118517
Provider Name (Legal Business Name): BALANCE HOMECARE SERVICES INC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 06/22/2023
Last Update Date: 06/22/2023
Certification Date: 06/22/2023
Deactivation Date:
Reactivation Date:

III. Provider practice location address

801 W LITTLE CREEK RD STE 104
NORFOLK VA
23505-2036
US

IV. Provider business mailing address

801 W LITTLE CREEK RD STE 104
NORFOLK VA
23505-2036
US

V. Phone/Fax

Practice location:
  • Phone: 757-866-2696
  • Fax: 571-368-5417
Mailing address:
  • Phone: 757-866-2696
  • Fax: 571-368-5417

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code174200000X
TaxonomyMeals Provider
License Number
License Number State
# 2
Primary TaxonomyN
Taxonomy Code251G00000X
TaxonomyCommunity Based Hospice Care Agency
License Number
License Number State
# 3
Primary TaxonomyN
Taxonomy Code343900000X
TaxonomyNon-emergency Medical Transport (VAN)
License Number
License Number State
# 4
Primary TaxonomyN
Taxonomy Code385H00000X
TaxonomyRespite Care
License Number
License Number State
# 5
Primary TaxonomyY
Taxonomy Code251E00000X
TaxonomyHome Health Agency
License Number
License Number State

VIII. Authorized Official

Name: NTOH NTOH PRINCEWILL
Title or Position: SENIOR CARE MANAGER
Credential: MR.
Phone: 757-866-2696