Bali Health LLC

Primary specialty

Home Health AgencyTaxonomy code 251E00000X

Legal business name

BALI HEALTH LLC

Practice address

1605 Chacon Canyon Dr
Desoto, TX 75115-7725

Phone

(214) 514-9497

NPI assigned

Jul 14, 2020

Organization subpart

No

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

Authorized official

Name

Kendra FantroyNPI 1952943318

Title

Administrator

Phone

(214) 514-9497

Specialties & licenses 1

Addresses

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Kendra Fantroy

  • Home Health Agency
  • Desoto, TX
  • NPI 1952943318
  NPD Authorized official

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

{
    "created_epoch": "1594684800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1594684800000",
    "number": "1700404928",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 2382",
            "city": "DESOTO",
            "state": "TX",
            "postal_code": "751232382"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1605 CHACON CANYON DR",
            "city": "DESOTO",
            "state": "TX",
            "postal_code": "751157725",
            "telephone_number": "214-514-9497"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "BALI HEALTH LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2020-07-14",
        "last_updated": "2020-07-14",
        "certification_date": "2020-07-14",
        "status": "A",
        "authorized_official_last_name": "FANTROY",
        "authorized_official_first_name": "KENDRA",
        "authorized_official_title_or_position": "ADMINISTRATOR",
        "authorized_official_telephone_number": "214-514-9497"
    },
    "taxonomies": [
        {
            "code": "251E00000X",
            "taxonomy_group": "",
            "desc": "Home Health",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Sheena Erica Austin, RN
• Ave Maria Home Care Services, LLC
• Todd Jeffrey Ayars, D.D.S.
• Ayodele Abraham MD PLLC
• Bailer Home Care
• Eric Ball
• Balls Health and Family Services
• Tanitoluwa Bankale
• Tiwatope Bankale, PHD
• Kathryn Elaine Barnes, D.C.

• Home Health Agency in Desoto, TX
• Providers in Desoto, TX by specialty
• Home Health Agency in Texas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 14, 2020; 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.