Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of October 4, 2026.

The Well Balanced Senior Program

Organization Community Health Worker · NPI 1457515207

The Well Balanced Senior Program provides Community Health Worker services in East Orange, New Jersey. Licensed in New Jersey. Registered with an NPI since 2008.

Licensed in
NJ
In the registry since
2008
Specialties on file
3

Practice location Address checks out

111 S Munn Ave Ste 2A
East Orange, NJ 07018 Not confirmed with CMS for 16 years — call before visiting
Phone: (908) 296-5258
Fax: (973) 732-0460
Show map & directions

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Community Health Worker (primary) Taxonomy 172V00000X · Licence 0400239766 (NJ)
Home Health Agency Taxonomy 251E00000X · Licence HP0135400 (NJ)
Community Health Clinic/Center Taxonomy 261QC1500X · Licence 0400239766 (NJ)

Record details

NPI number1457515207
Entity typeOrganization (Type 2)
Organization subpartNo
Authorized official Shelly Larkins — Executive Director · (908) 296-5258
NPI enumeratedJuly 10, 2008
Last updated in NPPESNovember 23, 2009
Mailing address111 South Munn Ave, Suite 2a, East Orange, NJ 07018

Other providers in East Orange