Provider Demographics
NPI:1295531341
Name:EPPS, MELINDA
Entity type:Individual
Prefix:MISS
First Name:MELINDA
Middle Name:
Last Name:EPPS
Suffix:
Gender:
Credentials:
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:MELINDA EPPS
Mailing Address - Street 2:855 GLIDE ST.
Mailing Address - City:ROCHESTER
Mailing Address - State:NY
Mailing Address - Zip Code:14606-2003
Mailing Address - Country:US
Mailing Address - Phone:585-957-3319
Mailing Address - Fax:
Practice Address - Street 1:855 GLIDE ST
Practice Address - Street 2:
Practice Address - City:ROCHESTER
Practice Address - State:NY
Practice Address - Zip Code:14606-2003
Practice Address - Country:US
Practice Address - Phone:585-957-3319
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2025-02-20
Last Update Date:2025-02-20
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
340214260693E376K00000X
NY340214260693E376K00000X, 251E00000X, 253Z00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251E00000XAgenciesHome Health
No376K00000XNursing Service Related ProvidersNurse's Aide
No253Z00000XAgenciesIn Home Supportive Care