Melody Care Home LLC

Primary specialty

Assisted Living FacilityTaxonomy code 310400000X

License

ALH-6022 Issued in AZ

Legal business name

MELODY CARE HOME LLC

Practice address

1796 W Ray LN
Apache Junction, AZ 85220-6818

Phone

(480) 987-8549

Fax

(480) 474-9321

NPI assigned

Jan 23, 2007

Organization subpart

No

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

Authorized official

Name

Mrs. Myrna Tismal Bautista

Title

Manager

Phone

(480) 987-8549

Specialties & licenses 1

Addresses

Other names 1

• Melody Care Home Former legal business name

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

{
    "created_epoch": "1169510400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1902951908",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1796 W RAY LN",
            "city": "APACHE JUNCTION",
            "state": "AZ",
            "postal_code": "852206818",
            "telephone_number": "480-987-8549",
            "fax_number": "480-474-9321"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1796 W RAY LN",
            "city": "APACHE JUNCTION",
            "state": "AZ",
            "postal_code": "852206818",
            "telephone_number": "480-987-8549",
            "fax_number": "480-474-9321"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MELODY CARE HOME LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-01-23",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "BAUTISTA",
        "authorized_official_first_name": "MYRNA",
        "authorized_official_middle_name": "TISMAL",
        "authorized_official_title_or_position": "MANAGER",
        "authorized_official_telephone_number": "480-987-8549",
        "authorized_official_name_prefix": "Mrs."
    },
    "taxonomies": [
        {
            "code": "310400000X",
            "taxonomy_group": "",
            "desc": "Assisted Living Facility",
            "state": "AZ",
            "license": "ALH-6022",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Melody Care Home",
            "code": "4",
            "type": "Former Legal Business Name"
        }
    ]
}

• Gustavo McGrew, LISAC
• Melissa McKinney, LAAC, MS, MA
• Karen McNulty, RN
• Jill Mehrer, PHARM D
• Haley Laene Bohl Mejias, MMS PA-C
• Patricia Mendez
• Marcelo Mendonca
• Mercy Rd.Chiropractic,P.L.L.C.
• Merril Heslop
• Thaddeus Ford Meyer, COTA/L

• Assisted Living Facility in Apache Junction, AZ
• Providers in Apache Junction, AZ by specialty
• Assisted Living Facility in Arizona

• 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.