MEDICARE: MELINDA'S HOUSE OF LOVE LLC

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	320900000X	Intellectual and/or Developmental Disabilities Community Based Residential Treatment Facility
2	320700000X	Physical Disabilities Residential Treatment Facility

General Provider Information

NPI Number	:	1760348205
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	MELINDA'S HOUSE OF LOVE LLC

Provider Business Mailing Address
First Line	:	222 N LUMBER ST
Second Line	:
City	:	NASHVILLE
State	:	NC
Zip	:	27856-1730
Country	:	US
Telephone Number	:	252-462-5256
Fax Number	:

Provider Business Practice Location Address
First Line	:	222 N LUMBER ST
Second Line	:
City	:	NASHVILLE
State	:	NC
Zip	:	27856-1730
Country	:	US
Telephone Number	:	252-462-5256
Fax Number	:

Authorized Official
Title or Position	:	DIRECTOR
Name	:	ANTHONY BELL
Credential	:
Telephone Number	:	252-916-9122

Provider Enumeration Date	:	12/29/2025
Last Update Date	:	01/06/2026

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Directions to “MELINDA'S HOUSE OF LOVE LLC ” Practice Location

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