MEDICARE: MELORA HOME HEALTH CARE, INC

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	251E00000X	Home Health Agency

General Provider Information

NPI Number	:	1811446271
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	MELORA HOME HEALTH CARE, INC

Provider Business Mailing Address
First Line	:	1415 E COLORADO ST STE 211
Second Line	:
City	:	GLENDALE
State	:	CA
Zip	:	91205-1541
Country	:	US
Telephone Number	:	909-366-9927
Fax Number	:	909-939-6696

Provider Business Practice Location Address
First Line	:	1415 E COLORADO ST STE 211
Second Line	:
City	:	GLENDALE
State	:	CA
Zip	:	91205-1541
Country	:	US
Telephone Number	:	909-366-9927
Fax Number	:	909-939-6696

Authorized Official
Title or Position	:	CEO
Name	:	LAURA TER-HAKOBYAN
Credential	:
Telephone Number	:	909-366-9927

Provider Enumeration Date	:	09/27/2016
Last Update Date	:	01/11/2025

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