MEDICARE: MELODI, 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	251E00000X	Home Health Agency		CA

General Provider Information

NPI Number	:	1952519563
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	MELODI, LLC

Provider Business Mailing Address
First Line	:	3959 FOOTHILL BLVD STE 204
Second Line	:
City	:	GLENDALE
State	:	CA
Zip	:	91214-1663
Country	:	US
Telephone Number	:	818-248-4141
Fax Number	:	818-248-4144

Provider Business Practice Location Address
First Line	:	3959 FOOTHILL BLVD STE 204
Second Line	:
City	:	GLENDALE
State	:	CA
Zip	:	91214-1663
Country	:	US
Telephone Number	:	818-248-4141
Fax Number	:	818-248-4144

Authorized Official
Title or Position	:	DIRECTOR/OWNER
Name	:	MRS. DIANA ASLANIAN
Credential	:	BSW
Telephone Number	:	818-248-4141

Provider Enumeration Date	:	05/18/2007
Last Update Date	:	01/07/2010

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