CASADY NICHOLAS BALANCED LIFE CHIROPRACTIC (NPI# 1124185764) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1124185764 |
| Entity Type | Organization |
| Organization Name | CASADY NICHOLAS BALANCED LIFE CHIROPRACTIC |
| Other Organization Name | BALANCED LIFE CHIROPRACTIC |
| Practice Address |
7890 Haven Ave Ste 1 Rancho Cucamonga CA 91730 |
| Practice Telephone | 9095813051 |
| Practice Fax Number | 9095813057 |
| Mailing Telephone | 9095813051 |
| Mailing Fax Number | 9095813057 |
| Enumeration Date | 2007-01-02 |
| Last Update Date | 2020-08-22 |
| Authorized Official Name | DR. DEMETRIA NICOLE CASADY (OWNER CEO) |
| Authorized Official Telephone | 9095813051 |
| Authorized Official Credential | DC |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 111N00000X | Chiropractor | DC 27728 | CA | Chiropractic Providers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| CA | UNITED HEALTHCARE | 2341236 | 01 |
| Other Name | Type Code |
|---|---|
| Balanced Life Chiropractic | Doing Business As Name - Organization |
| Street Address |
7890 HAVEN AVE STE 1 |
| City | RANCHO CUCAMONGA |
| State | CA |
| Zip Code | 91730 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1932722444 | Alliancerx Health Solutions, LLC. | Clinical Medical Laboratory | 9431 Haven Ave, Suite 100 #376, Rancho Cucamonga, CA 91730 | 2020-05-19 |
| 1346860194 | Wecare Dialysis Center | Clinic/Center | 8591 Grove Ave, Rancho Cucamonga, CA 91730 | 2020-04-22 |
| 1982235263 | Mel Latone Family Counseling, Inc. | Marriage & Family Therapist | 9033 Base Line Road, Suite M, Rancho Cucamonga, CA 91730 | 2020-01-27 |
| 1205471240 | Breena Nakamoto | Social Worker | 9645 Arrow Route, Building 5, Suite A, Rancho Cucamonga, CA 91730 | 2019-11-13 |
| 1497300180 | Laura Estela Le | Behavior Technician | 8350 Archilbald Ave Ste 110, Rancho Cucamonga, CA 91730 | 2019-08-08 |
| 1336792100 | Swan Psychological Services, Inc. | Psychologist | 8333 E. Foothill Blvd., Suite 109, Rancho Cucamonga, CA 91730 | 2019-07-22 |
| 1568023745 | Mariah Wright | Behavior Technician | 10532 Arcacia St, B-11, Rancho Cucamonga, CA 91730 | 2019-06-27 |
| 1770140378 | Amanda Ware | Clinic/Center | 9333 Fairway View Place Suite 101, Rancho Cucamonga, CA 91730 | 2019-05-20 |
| 1265995435 | Collaborative Autism Management Programs Inc. | Community/Behavioral Health | 9360 Santa Anita Ave Ste 104, Rancho Cucamonga, CA 91730 | 2019-04-12 |
| 1700361326 | Brittany Rhone | Behavioral Analyst | 933 Baseline Rd, Rancho Cucamonga, CA 91730 | 2018-09-28 |
| Find all providers in zip 91730 | ||||
| Taxonomy Code | 111N00000X |
| Grouping | Chiropractic Providers |
| Classification | Chiropractor |
| A provider qualified by a Doctor of Chiropractic (D.C.), licensed by the State and who practices chiropractic medicine -that discipline within the healing arts which deals with the nervous system and its relationship to the spinal column and its interrelationship with other body systems. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1255932356 | Dr Demetria Casady Chiropractic PC | Chiropractor | 10801 Foothill Blvd Ste 104, Rancho Cucamonga, CA 91730-7695 | 2020-11-04 |
| 1891331088 | Richard Wayne Alexander Nance | Chiropractor | 9650 9th St Ste E, Rancho Cucamonga, CA 91730-4590 | 2019-11-21 |
| 1649829052 | Steven Areta | Chiropractor | 9113 Foothill Blvd Ste 200, Rancho Cucamonga, CA 91730-3452 | 2019-09-09 |
| 1932677762 | Patrick George Suckoo | Chiropractor | 8577 Haven Ave Ste 210, Rancho Cucamonga, CA 91730-4850 | 2018-11-09 |
| 1396230041 | Red Hill Spine, K. Ly Chiropractic Corporation | Chiropractor | 8977 Foothill Blvd Ste E, Rancho Cucamonga, CA 91730 | 2018-06-26 |
| 1336647387 | Rooted Chiropractic A Ramsey Corporation | Chiropractor | 10828 Foothill Blvd., Ste. 100 #25, Rancho Cucamonga, CA 91730 | 2018-01-24 |
| 1437657509 | Abigail Ann Ramsey-reutgen | Chiropractor | 10828 Foothill Blvd. Ste 100 # 25, Rancho Cucamonga, CA 91730 | 2018-01-24 |
| 1790176683 | Hamilton Chiropractic Corporation | Chiropractor | 9645 Arrow Rte Ste G, Rancho Cucamonga, CA 91730-4554 | 2015-02-12 |
| 1164707519 | Amandeep Kalsi | Chiropractor | 9135 Archibald Ave Ste E, Rancho Cucamonga, CA 91730 | 2011-10-17 |
| 1760703938 | Sartin Family Chiropractic Inc | Chiropractor | 8678 19th St, Suite 130, Rancho Cucamonga, CA 91701-4559 | 2010-06-22 |
| Find all providers in RANCHO CUCAMONGA | ||||
| City | RANCHO CUCAMONGA |
| Zip Code | 91730 |
Please comment or provide details below to improve the information on CASADY NICHOLAS BALANCED LIFE CHIROPRACTIC.
| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.