Healthcare Provider Details

I. General information

NPI: 1659231249
Provider Name (Legal Business Name): MELODY HEALTHCARE LLC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 11/14/2025
Last Update Date: 11/14/2025
Certification Date: 11/14/2025
Deactivation Date:
Reactivation Date:

III. Provider practice location address

9245 REDBRIDGE CT
LAUREL MD
20723-1769
US

IV. Provider business mailing address

9245 REDBRIDGE CT
LAUREL MD
20723-1769
US

V. Phone/Fax

Practice location:
  • Phone: 240-855-6630
  • Fax:
Mailing address:
  • Phone: 240-855-6630
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code251E00000X
TaxonomyHome Health Agency
License Number
License Number StateNULL
# 2
Primary TaxonomyN
Taxonomy Code261QA0600X
TaxonomyAdult Day Care Clinic/Center
License Number
License Number StateNULL
# 3
Primary TaxonomyY
Taxonomy Code310400000X
TaxonomyAssisted Living Facility
License Number
License Number StateNULL
# 4
Primary TaxonomyN
Taxonomy Code163WC0400X
TaxonomyCase Management Registered Nurse
License Number
License Number StateNULL
# 5
Primary TaxonomyN
Taxonomy Code163WC1500X
TaxonomyCommunity Health Registered Nurse
License Number
License Number StateNULL

VIII. Authorized Official

Name: KARIN LEMUS HERNANDEZ
Title or Position: OWNER
Credential:
Phone: 240-855-6630