Provider Demographics
NPI:1770258949
Name:MELJONSON HEALTHCARE SERVICES. LLC
Entity Type:Organization
Organization Name:MELJONSON HEALTHCARE SERVICES. LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:NURSING
Authorized Official - Prefix:
Authorized Official - First Name:SONIA
Authorized Official - Middle Name:AP
Authorized Official - Last Name:YEBOAH
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:513-371-8920
Mailing Address - Street 1:9435 WATERSTONE BLVD STE 140-81
Mailing Address - Street 2:
Mailing Address - City:CINCINNATI
Mailing Address - State:OH
Mailing Address - Zip Code:45249-8226
Mailing Address - Country:US
Mailing Address - Phone:513-371-8920
Mailing Address - Fax:
Practice Address - Street 1:9435 WATERSTONE BLVD STE 140-81
Practice Address - Street 2:
Practice Address - City:CINCINNATI
Practice Address - State:OH
Practice Address - Zip Code:45249-8226
Practice Address - Country:US
Practice Address - Phone:513-371-8920
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2021-08-10
Last Update Date:2021-09-29
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251E00000XAgenciesHome Health
Provider Identifiers
StateIdentifier IDID TypeIssuer
OH1457631343Medicaid