Active NPI
Inbalance Home Health, LLC
- Home Health Agency
- San Tan Valley, AZ
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Home Health Agency
- License
- 5392
- Legal business name
- INBALANCE HOME HEALTH, LLC
- Practice address
- 36397 N Gantzel Rd Ste 101
San Tan Valley, AZ 85140-7336 - Phone
- (480) 494-6622
- Fax
- (480) 930-4030
- NPI assigned
- Jul 28, 2016
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Donny Taylor
- Title
- Member
- Phone
- (903) 539-5603
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Home Health Agency | 251E00000X | 5392 | AZ | Primary |
Addresses
Primary practice location
36397 N Gantzel Rd Ste 101
San Tan Valley, AZ 85140-7336
Mailing address
36397 N Gantzel Rd
San Tan Valley, AZ 85140-7335
Phone (480) 494-6622
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in AZ
Enrollment records 1
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| O20170419001276 | AZ | Part A Provider - Home Health Agency | 5395021745 | Practice locations: San Tan Valley, AZ |
Home health agency certification: CCN 037472
- Legal name
- INBALANCE HOME HEALTH LLC
- Certification status
- Active
- Provider type (POS)
- Home health agency
- Participating since
- Nov 17, 2017
- Last certification
- Mar 30, 2021
- Ownership / control type
- Proprietary
- Organization structure
- LLC
- Enrollment address
- 36397 N Gantzel Rd
Ste 101
San Tan Valley, AZ 85140-7336
Care Compare: Home health agency
Medicare Care Compare- Listed as
- Inbalance Home Health, LLC
- Overall star rating
- Ownership
- Proprietary
- Certified
- Nov 17, 2017
- Medicare certification status
- Active
- Services
- Nursing, Physical therapy, Occupational therapy
National Provider Directory
National Provider DirectoryLocations
36397 N Gantzel Rd
Ste 101
San Tan Valley, AZ 85140
Phone (480) 494-6622
Ownership & related parties
All disclosed owners & managing parties 3
As disclosed on the Medicare enrollment (CMS All Owners files). Individuals include officers, directors and managing employees, who may not hold ownership.
| Name | Role | Since | Share |
|---|---|---|---|
| Ryan K Vance | 5% Or Greater Direct Ownership Interest | Oct 26, 2016 | 33.3% |
| Corporate Officer | Oct 26, 2016 | 33.3% | |
| Corporate Director | Jul 27, 2016 | 33% | |
| Stephen L Montierth | 5% Or Greater Direct Ownership Interest | Oct 26, 2016 | 33.3% |
| Donny C Taylor | 5% Or Greater Direct Ownership Interest | Oct 26, 2016 | 33.3% |
| Corporate Officer | Jul 27, 2016 | 33% | |
| Operational/Managerial Control | Jul 27, 2016 | 33.3% |
Owners & managing parties with NPI records 1
Owners and managing parties disclosed on this facility’s Medicare enrollment that are themselves Medicare-enrolled.
-
- Physical Therapist
- Mesa, AZ
- NPI 1447438890
5% Or Greater Direct Ownership Interest
Practitioners & affiliated clinicians
Practitioners 3
Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.
-
- Physical Therapist
- Mesa, AZ
- NPI 1447438890
-
- Physical Therapist
- San Tan Valley, AZ
- NPI 1295965044
-
- Physical Therapist
- Claremore, OK
- NPI 1386294510
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1469664000000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1726185600000",
"number": "1962955708",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "36397 N GANTZEL RD",
"city": "SAN TAN VALLEY",
"state": "AZ",
"postal_code": "851407335",
"telephone_number": "480-494-6622"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "36397 N GANTZEL RD STE 101",
"city": "SAN TAN VALLEY",
"state": "AZ",
"postal_code": "851407336",
"telephone_number": "480-494-6622",
"fax_number": "480-930-4030"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "INBALANCE HOME HEALTH, LLC",
"organizational_subpart": "NO",
"enumeration_date": "2016-07-28",
"last_updated": "2024-09-13",
"certification_date": "2024-09-13",
"status": "A",
"authorized_official_last_name": "TAYLOR",
"authorized_official_first_name": "DONNY",
"authorized_official_title_or_position": "MEMBER",
"authorized_official_telephone_number": "903-539-5603"
},
"taxonomies": [
{
"code": "251E00000X",
"taxonomy_group": "",
"desc": "Home Health",
"state": "AZ",
"license": "5392",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in San Tan Valley, AZ
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 13, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; facility enrollments, owners and changes of ownership; Provider of Services certification data.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.