Provider Demographics
NPI:1629017181
Name:BALANCED LIVING, A HOME HEALTH AGENCY, INC.
Entity Type:Organization
Organization Name:BALANCED LIVING, A HOME HEALTH AGENCY, INC.
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PRESIDENT
Authorized Official - Prefix:MRS
Authorized Official - First Name:MEE-LING
Authorized Official - Middle Name:L
Authorized Official - Last Name:TOM
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:626-821-0822
Mailing Address - Street 1:49 E HUNTINGTON DR
Mailing Address - Street 2:
Mailing Address - City:ARCADIA
Mailing Address - State:CA
Mailing Address - Zip Code:91006-3210
Mailing Address - Country:US
Mailing Address - Phone:626-821-0822
Mailing Address - Fax:626-821-6068
Practice Address - Street 1:49 EAST HUNTINGTON DRIVE
Practice Address - Street 2:
Practice Address - City:ARCADIA
Practice Address - State:CA
Practice Address - Zip Code:91006-3210
Practice Address - Country:US
Practice Address - Phone:626-821-0822
Practice Address - Fax:626-821-6068
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2006-06-06
Last Update Date:2012-11-15
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CA550000033251E00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251E00000XAgenciesHome Health
Provider Identifiers
StateIdentifier IDID TypeIssuer
CAHHA08327FMedicaid
CAHHA08327FMedicaid