Balance Multicare, PLC

Primary specialty

ChiropractorTaxonomy code 111N00000X

License

8008 Issued in AZ

Legal business name

BALANCE MULTICARE, PLC

Doing business as

HealthSource Chiropractic & Progressive Rehab

Practice address

936 12TH PL
Prescott, AZ 86305-1436

Phone

(928) 778-7996

Fax

(928) 442-3324

NPI assigned

Jul 13, 2006

Last updated

Aug 22, 2020By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Dr. Andrew Jack Nelson III, D.C.NPI 1659396042

Title

Owner

Phone

(928) 778-7996

Specialties & licenses 1

Addresses

Other names 1

• HealthSource Chiropractic & Progressive Rehab Doing business as

Medicare fee-for-service enrollment

Enrolled in AZ

Enrollment records 1

Locations

Practitioners 4

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.

• Andrew Jack Nelson III, D.C.

  • Chiropractor
  • Prescott, AZ
  • NPI 1659396042
  Medicare reassignment NPD Authorized official
• Kevin Yin Shun Chan, DO

  • Family Medicine Physician
  • Phoenix, AZ
  • NPI 1528014248
  NPD (past)
• Stephen J. Graham, M.D.

  • General Practice Physician
  • Gold Canyon, AZ
  • NPI 1790778520
  NPD (past)
• Michael Ira Levit, D.O

  • General Practice Physician
  • Phoenix, AZ
  • NPI 1558540476
  NPD (past)

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

{
    "created_epoch": "1152748800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1700801594",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "936 12TH PL",
            "city": "PRESCOTT",
            "state": "AZ",
            "postal_code": "863051436",
            "telephone_number": "928-778-7996",
            "fax_number": "928-442-3324"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "936 12TH PL",
            "city": "PRESCOTT",
            "state": "AZ",
            "postal_code": "863051436",
            "telephone_number": "928-778-7996",
            "fax_number": "928-442-3324"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "BALANCE MULTICARE, PLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-07-13",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "NELSON",
        "authorized_official_first_name": "ANDREW",
        "authorized_official_middle_name": "JACK",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "928-778-7996",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_name_suffix": "III",
        "authorized_official_credential": "D.C."
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "",
            "desc": "Chiropractor",
            "state": "AZ",
            "license": "8008",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "HealthSource Chiropractic & Progressive Rehab",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Geraldine Bahe-Hernandez, MSW
• John A Bahlman III, RPH
• Lisa Jae Bailey, OT/L
• Jasmine Baker
• Sarah Baker, LCSW
• Len Douglas Balke, MD
• Daniel J Ballard, MD
• Kathryn T Ballard, M.D.
• Judy G Bandy, FNP
• Kaitlyn R Banning

• Chiropractor in Prescott, AZ
• Providers in Prescott, AZ by specialty
• Chiropractor in Arizona

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 22, 2020; 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.