Organization Active NPI

Balanced Integrative Care, LLC

Doing business as Balanced Integrative Care

  • Primary Care Clinic/Center
  • Eldridge, IA
National Provider Identifier
1275367633
Registry record updated Aug 28, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Primary Care Clinic/CenterTaxonomy code 261QP2300X
Legal business name
BALANCED INTEGRATIVE CARE, LLC
Doing business as
Balanced Integrative Care
Practice address
312 N 2ND St
Eldridge, IA 52748-1259
Phone
(563) 396-2233
Fax
(563) 514-4155
NPI assigned
Aug 28, 2024
Last updated
Aug 28, 2024By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 28, 2024

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

Authorized official

Name
Jennifer CartonNPI 1548658578
Title
Owner
Phone
(563) 349-4488

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
Primary Care Clinic/Center 261QP2300X Primary

Addresses

Primary practice location

312 N 2ND St
Eldridge, IA 52748-1259

Mailing address

312 N 2ND St
Eldridge, IA 52748-1259
Phone (563) 396-2233

Other names 1

  • Balanced Integrative Care Doing business as

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in IA

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20251124003324 IA Part B Supplier - Clinic/Group Practice 9739671017 Receives reassigned benefits from 1 practitioner
Practice locations: Eldridge, IA

National Provider Directory

National Provider Directory

Locations

312 N 2nd St
Eldridge, IA 52748
Phone (563) 285-8899

Practitioners & affiliated clinicians

Practitioners 3

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": "1724803200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1724803200000",
    "number": "1275367633",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "312 N 2ND ST",
            "city": "ELDRIDGE",
            "state": "IA",
            "postal_code": "527481259",
            "telephone_number": "563-396-2233",
            "fax_number": "563-514-4155"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "312 N 2ND ST",
            "city": "ELDRIDGE",
            "state": "IA",
            "postal_code": "527481259",
            "telephone_number": "563-396-2233",
            "fax_number": "563-514-4155"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "BALANCED INTEGRATIVE CARE, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2024-08-28",
        "last_updated": "2024-08-28",
        "certification_date": "2024-08-28",
        "status": "A",
        "authorized_official_last_name": "CARTON",
        "authorized_official_first_name": "JENNIFER",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "563-349-4488"
    },
    "taxonomies": [
        {
            "code": "261QP2300X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Primary Care",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Balanced Integrative Care",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Eldridge, IA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 28, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.