Healthcare Provider Details

I. General information

NPI: 1760348205
Provider Name (Legal Business Name): MELINDA'S HOUSE OF LOVE LLC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 12/29/2025
Last Update Date: 01/06/2026
Certification Date: 01/06/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

222 N LUMBER ST
NASHVILLE NC
27856-1730
US

IV. Provider business mailing address

222 N LUMBER ST
NASHVILLE NC
27856-1730
US

V. Phone/Fax

Practice location:
  • Phone: 252-462-5256
  • Fax:
Mailing address:
  • Phone: 252-462-5256
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code320700000X
TaxonomyPhysical Disabilities Residential Treatment Facility
License Number
License Number State
# 2
Primary TaxonomyN
Taxonomy Code320900000X
TaxonomyIntellectual and/or Developmental Disabilities Community Based Residential Treatment Facility
License Number
License Number State

VIII. Authorized Official

Name: ANTHONY BELL
Title or Position: DIRECTOR
Credential:
Phone: 252-916-9122