Organization Active NPI

Balance Life Healthcare LLC

  • Family Nurse Practitioner
  • Lehigh Acres, FL
National Provider Identifier
1255182747
Registry record updated Apr 1, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
Legal business name
BALANCE LIFE HEALTHCARE LLC
Practice address
304 E 5TH St
Lehigh Acres, FL 33972-7647
Phone
(239) 703-4182
NPI assigned
Apr 1, 2024
Last updated
Apr 1, 2024By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Apr 1, 2024

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name
Lourdes Benitez, APRNNPI 1841806320
Title
Manager
Phone
(239) 703-4182

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Nurse PractitionerGroup: 193400000X SINGLE SPECIALTY GROUP 363LF0000X Primary

Addresses

Primary practice location

304 E 5TH St
Lehigh Acres, FL 33972-7647

Mailing address

304 E 5TH St
Lehigh Acres, FL 33972-7647
Phone (239) 703-4182

Other names 1

  • Balance Life Healthcare LLC Former legal business name

National Provider Directory

National Provider Directory

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1711929600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1711929600000",
    "number": "1255182747",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "304 E 5TH ST",
            "city": "LEHIGH ACRES",
            "state": "FL",
            "postal_code": "339727647",
            "telephone_number": "239-703-4182"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "304 E 5TH ST",
            "city": "LEHIGH ACRES",
            "state": "FL",
            "postal_code": "339727647",
            "telephone_number": "239-703-4182"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "BALANCE LIFE HEALTHCARE LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2024-04-01",
        "last_updated": "2024-04-01",
        "certification_date": "2024-04-01",
        "status": "A",
        "authorized_official_last_name": "BENITEZ",
        "authorized_official_first_name": "LOURDES",
        "authorized_official_title_or_position": "MANAGER",
        "authorized_official_telephone_number": "239-703-4182",
        "authorized_official_credential": "APRN"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Nurse Practitioner, Family",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Balance Life Healthcare LLC",
            "code": "4",
            "type": "Former Legal Business Name"
        }
    ]
}

Other providers in Lehigh Acres, FL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 1, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.