Healthcare Provider Details

I. General information

NPI: 1568869865
Provider Name (Legal Business Name): MELODY HOME HEALTH CARE SERVICES INC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 12/02/2014
Last Update Date: 11/19/2024
Certification Date: 11/19/2024
Deactivation Date:
Reactivation Date:

III. Provider practice location address

211 E SIX FORKS RD STE 107
RALEIGH NC
27609-7743
US

IV. Provider business mailing address

211 E SIX FORKS RD STE 108
RALEIGH NC
27609-7743
US

V. Phone/Fax

Practice location:
  • Phone: 919-523-2205
  • Fax:
Mailing address:
  • Phone: 919-523-2205
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code253Z00000X
TaxonomyIn Home Supportive Care Agency
License NumberHC4699
License Number StateNC
# 2
Primary TaxonomyN
Taxonomy Code332B00000X
TaxonomyDurable Medical Equipment & Medical Supplies
License Number
License Number State

VIII. Authorized Official

Name: MR. OKAFOR U OMOJI
Title or Position: CEO
Credential:
Phone: 919-523-2205