Provider Demographics
NPI:1821714684
Name:BALANCED HOME CARE
Entity Type:Organization
Organization Name:BALANCED HOME CARE
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:COO
Authorized Official - Prefix:
Authorized Official - First Name:CHARLISA
Authorized Official - Middle Name:
Authorized Official - Last Name:REBLIN
Authorized Official - Suffix:
Authorized Official - Credentials:RN
Authorized Official - Phone:248-528-2600
Mailing Address - Street 1:2125 BUTTERFIELD DR STE 299
Mailing Address - Street 2:
Mailing Address - City:TROY
Mailing Address - State:MI
Mailing Address - Zip Code:48084-3441
Mailing Address - Country:US
Mailing Address - Phone:248-528-2600
Mailing Address - Fax:
Practice Address - Street 1:36550 GRAND RIVER AVE
Practice Address - Street 2:
Practice Address - City:FARMINGTON
Practice Address - State:MI
Practice Address - Zip Code:48335-3064
Practice Address - Country:US
Practice Address - Phone:248-528-2600
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2022-10-13
Last Update Date:2022-10-13
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes376K00000XNursing Service Related ProvidersNurse's AideGroup - Single Specialty