Provider Demographics
NPI:1700396595
Name:MELODY CARE, LLC
Entity Type:Organization
Organization Name:MELODY CARE, LLC
Other - Org Name:MELODY HOME CARE
Other - Org Type:Doing Business As
Authorized Official - Title/Position:CEO
Authorized Official - Prefix:
Authorized Official - First Name:VIDYA
Authorized Official - Middle Name:PATI
Authorized Official - Last Name:MISHRA
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:980-322-4334
Mailing Address - Street 1:4917 ALBEMARLE RD
Mailing Address - Street 2:
Mailing Address - City:CHARLOTTE
Mailing Address - State:NC
Mailing Address - Zip Code:28205-6611
Mailing Address - Country:US
Mailing Address - Phone:980-219-4770
Mailing Address - Fax:980-237-3564
Practice Address - Street 1:4917 ALBEMARLE RD
Practice Address - Street 2:
Practice Address - City:CHARLOTTE
Practice Address - State:NC
Practice Address - Zip Code:28205-6611
Practice Address - Country:US
Practice Address - Phone:980-219-4770
Practice Address - Fax:980-237-3564
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2017-10-05
Last Update Date:2017-10-05
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NCHC3789251J00000X, 253Z00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes253Z00000XAgenciesIn Home Supportive Care
No251J00000XAgenciesNursing Care