Provider Demographics
NPI:1740509876
Name:BALANCED HOME HEALTHCARE, INC.
Entity type:Organization
Organization Name:BALANCED HOME HEALTHCARE, INC.
Other - Org Name:<UNAVAIL>
Other - Org Type:
Authorized Official - Title/Position:PRESIDENT
Authorized Official - Prefix:
Authorized Official - First Name:JAMIE
Authorized Official - Middle Name:SCOTT
Authorized Official - Last Name:HYNES
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:561-697-3606
Mailing Address - Street 1:1645 PALM BEACH LAKES BLVD.
Mailing Address - Street 2:SUITE 1100
Mailing Address - City:WEST PALM BEACH
Mailing Address - State:FL
Mailing Address - Zip Code:33401-2218
Mailing Address - Country:US
Mailing Address - Phone:561-697-3606
Mailing Address - Fax:561-697-3614
Practice Address - Street 1:4042 PARK OAKS BLVD STE 400
Practice Address - Street 2:
Practice Address - City:TAMPA
Practice Address - State:FL
Practice Address - Zip Code:33610-9543
Practice Address - Country:US
Practice Address - Phone:813-963-1200
Practice Address - Fax:813-863-0404
EIN:<UNAVAIL>
Is Organization Subpart?:Yes
Parent Organization LBN:VITALITY HOME CARE, INC
Parent Organization TIN:<UNAVAIL>
Enumeration Date:2010-05-28
Last Update Date:2022-08-29
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
FL299993782251E00000X
251E00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251E00000XAgenciesHome Health