Melrose HCC, LLC

Primary specialty

Skilled Nursing FacilityTaxonomy code 314000000X

Legal business name

MELROSE HCC, LLC

Doing business as

Melrose Nursing & Rehab

Practice address

1501 W 29TH St
Tyler, TX 75702-1404

Phone

(903) 592-8148

Fax

(903) 595-1253

NPI assigned

Jan 3, 2007

Last updated

Aug 22, 2020By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Ms. Sharon Kay Redd

Title

Reimbursement Specialists

Phone

(903) 881-9432

Specialties & licenses 1

Addresses

Other identifiers 1

Other names 1

• MELROSE NURSING & REHAB Doing business as

Tax ID family

Melrose HCC LLC2 organizations share this tax ID, including this one

Other organizations with this tax ID 1

Organizations that report the same tax identification number in the National Provider Directory.

• Melrose HCC, LLC

  dba Melrose Nursing & Rehab

  • Nursing Facility/Intermediate Care Facility
  • Tyler, TX
  • NPI 1457681199
  NPD tax ID

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

{
    "created_epoch": "1167782400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1477610814",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1501 W 29TH ST",
            "city": "TYLER",
            "state": "TX",
            "postal_code": "757021404",
            "telephone_number": "903-592-8148",
            "fax_number": "903-595-1253"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1501 W 29TH ST",
            "city": "TYLER",
            "state": "TX",
            "postal_code": "757021404",
            "telephone_number": "903-592-8148",
            "fax_number": "903-595-1253"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MELROSE HCC, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-01-03",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "REDD",
        "authorized_official_first_name": "SHARON",
        "authorized_official_middle_name": "KAY",
        "authorized_official_title_or_position": "REIMBURSEMENT SPECIALISTS",
        "authorized_official_telephone_number": "903-881-9432",
        "authorized_official_name_prefix": "Ms."
    },
    "taxonomies": [
        {
            "code": "314000000X",
            "taxonomy_group": "",
            "desc": "Skilled Nursing Facility",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "4506",
            "state": "TX"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "MELROSE NURSING & REHAB",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Juan Fernando Melgoza Jr., ATC
• Kylie Melillo
• Alexander Melino
• Andrew N Mellon, MD
• Melrose HCC, LLC (Melrose Nursing & Rehab)
• Ashley Melton
• Ellen Gwendolyn Melton, MD
• James R Menard, MD
• Melinda C Menard, MD
• Gustavo Alberto Mendez

• Skilled Nursing Facility in Tyler, TX
• Providers in Tyler, TX by specialty
• Skilled Nursing Facility in Texas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 22, 2020; 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.