Melton in-Home Care, LLC

Primary specialty

In Home Supportive Care AgencyTaxonomy code 253Z00000X

License

16393 Issued in TN

Legal business name

MELTON IN-HOME CARE, LLC

Doing business as

Visiting Angels

Practice address

1404 N Main St
Shelbyville, TN 37160-2381

Phone

(931) 488-6863

Fax

(931) 488-6852

NPI assigned

Sep 29, 2015

Organization subpart

No

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name

Mr. Kenneth Jason Melton

Title

Owner

Phone

(931) 808-5247

Specialties & licenses 1

Addresses

Other identifiers 1

Other names 1

• Visiting Angels Doing business as

Locations

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1443484800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1443484800000",
    "number": "1376913699",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1404 N MAIN ST",
            "city": "SHELBYVILLE",
            "state": "TN",
            "postal_code": "371602381",
            "telephone_number": "931-488-6863",
            "fax_number": "931-488-6852"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1404 N MAIN ST",
            "city": "SHELBYVILLE",
            "state": "TN",
            "postal_code": "371602381",
            "telephone_number": "931-488-6863",
            "fax_number": "931-488-6852"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MELTON IN-HOME CARE, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2015-09-29",
        "last_updated": "2015-09-29",
        "status": "A",
        "authorized_official_last_name": "MELTON",
        "authorized_official_first_name": "KENNETH",
        "authorized_official_middle_name": "JASON",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "931-808-5247",
        "authorized_official_name_prefix": "Mr."
    },
    "taxonomies": [
        {
            "code": "253Z00000X",
            "taxonomy_group": "",
            "desc": "In Home Supportive Care",
            "state": "TN",
            "license": "16393",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "Q014623",
            "state": "TN"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Visiting Angels",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• McKenzie McIntire
• Medical Home Primary Care, PLLC
• Medical Psychology Consultants, LLC
• Danny L Melson, MD
• Heather Melson, OT
• Helen Mendoza
• Middle Tennessee Pharmacy Services LLC
• Middle Tennessee Pharmacy Services LLC
• Middle Tennessee Pharmacy Services LLC
• Middle Tennessee Support Services, LLC

• In Home Supportive Care Agency in Shelbyville, TN
• Providers in Shelbyville, TN by specialty
• In Home Supportive Care Agency in Tennessee

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 29, 2015; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.