MEDICARE: BALANCED HEARTS LLC

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	253Z00000X	In Home Supportive Care Agency

General Provider Information

NPI Number	:	1235968124
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	BALANCED HEARTS LLC

Provider Business Mailing Address
First Line	:	7420 AMITY DR
Second Line	:
City	:	INDIANAPOLIS
State	:	IN
Zip	:	46268-2973
Country	:	US
Telephone Number	:	317-292-5227
Fax Number	:

Provider Business Practice Location Address
First Line	:	7420 AMITY DR
Second Line	:
City	:	INDIANAPOLIS
State	:	IN
Zip	:	46268-2973
Country	:	US
Telephone Number	:	317-292-5227
Fax Number	:

Authorized Official
Title or Position	:	ADMINISTRATOR
Name	:	AUNDRIA S BALLANCE
Credential	:
Telephone Number	:	317-292-5227

Provider Enumeration Date	:	07/29/2024
Last Update Date	:	07/29/2024

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Directions to “BALANCED HEARTS LLC ” Practice Location

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