Active NPI
Tanya Daniella Melton, PERSONALCARESERVICES
- Home Health Aide
- Rougemont, NC
National Provider Identifier
1972670388
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Home Health Aide
- License
- HC3519
- Practice address
- 988 Red Stone CT
Rougemont, NC 27572-9407 - Phone
- (919) 641-5722
- Fax
- (800) 693-5742
- NPI assigned
- Nov 29, 2006
- Last updated
- Oct 24, 2025
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 13
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Mental Illness Community Based Residential Treatment Facility | 320800000X | HC3519 | NC | |
| Home Delivered Meals | 332U00000X | HC3519 | NC | |
| Bus | 347B00000X | HC3519 | NC | |
| Adult Companion | 372600000X | NU | ||
| Home Health Aide | 374U00000X | HC3519 | NC | Primary |
| Respite Care | 385H00000X | HC3519 | NC | |
| Child Intellectual and/or Developmental Disabilities Respite Care | 385HR2060X | HC3519 | NC | |
| Child Physical Disabilities Respite Care | 385HR2065X | HC3519 | NC | |
| Student in an Organized Health Care Education/Training Program | 390200000X | HC3519 | NC | |
| In Home Supportive Care Agency | 253Z00000X | HC3519 | NC | |
| Meals Provider | 174200000X | HC3519 | NC | |
| Community/Behavioral Health Agency | 251S00000X | HC3519 | NC | |
| Peer Specialist | 175T00000X | HC3519 | NC |
Addresses
Primary practice location
988 Red Stone CT
Rougemont, NC 27572-9407
Mailing address
988 Red Stone CT
Rougemont, NC 27572-9407
Phone (919) 641-5722
Other identifiers 2
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 6601585 | Medicaid | NC | |
| 3418248 | Medicaid | NC |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| HC3519 | NC | MD | Mental Illness Community Based Residential Treatment Facility |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| A Better Stay Residential Support and Learning Center, LLC | Community/Behavioral Health | Current | Accepting new patients |
| Hashem Healthcare Services, Inc. | In Home Supportive Care | Current | Accepting new patients |
Organizations & group practices 5
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.
-
- Intellectual and/or Developmental Disabilities Community Based Residential Treatment Facility
- Rougemont, NC
- NPI 1235962390
Community/Behavioral Health
-
- Home Health Agency
- Rougemont, NC
- NPI 1942544093
In Home Supportive Care
-
dba Redirection
- Community/Behavioral Health Agency
- Durham, NC
- NPI 1497937866
-
- Case Management Agency
- Durham, NC
- NPI 1306078100
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1164758400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1761264000000",
"number": "1972670388",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "988 RED STONE CT",
"city": "ROUGEMONT",
"state": "NC",
"postal_code": "275729407",
"telephone_number": "919-641-5722",
"fax_number": "800-693-5742"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "988 RED STONE CT",
"city": "ROUGEMONT",
"state": "NC",
"postal_code": "275729407",
"telephone_number": "919-641-5722",
"fax_number": "800-693-5742"
}
],
"practiceLocations": [],
"basic": {
"last_name": "MELTON",
"first_name": "TANYA",
"middle_name": "DANIELLA",
"credential": "PERSONALCARESERVICES",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2006-11-29",
"last_updated": "2025-10-24",
"certification_date": "2025-10-24",
"status": "A"
},
"taxonomies": [
{
"code": "320800000X",
"taxonomy_group": "",
"desc": "Community Based Residential Treatment Facility, Mental Illness",
"state": "NC",
"license": "HC3519",
"primary": false
},
{
"code": "332U00000X",
"taxonomy_group": "",
"desc": "Home Delivered Meals",
"state": "NC",
"license": "HC3519",
"primary": false
},
{
"code": "347B00000X",
"taxonomy_group": "",
"desc": "Bus",
"state": "NC",
"license": "HC3519",
"primary": false
},
{
"code": "372600000X",
"taxonomy_group": "",
"desc": "Adult Companion",
"state": "NU",
"license": null,
"primary": false
},
{
"code": "374U00000X",
"taxonomy_group": "",
"desc": "Home Health Aide",
"state": "NC",
"license": "HC3519",
"primary": true
},
{
"code": "385H00000X",
"taxonomy_group": "",
"desc": "Respite Care",
"state": "NC",
"license": "HC3519",
"primary": false
},
{
"code": "385HR2060X",
"taxonomy_group": "",
"desc": "Respite Care, Respite Care, Intellectual and/or Developmental Disabilities, Child",
"state": "NC",
"license": "HC3519",
"primary": false
},
{
"code": "385HR2065X",
"taxonomy_group": "",
"desc": "Respite Care, Respite Care, Physical Disabilities, Child",
"state": "NC",
"license": "HC3519",
"primary": false
},
{
"code": "390200000X",
"taxonomy_group": "",
"desc": "Student in an Organized Health Care Education/Training Program",
"state": "NC",
"license": "HC3519",
"primary": false
},
{
"code": "253Z00000X",
"taxonomy_group": "",
"desc": "In Home Supportive Care",
"state": "NC",
"license": "HC3519",
"primary": false
},
{
"code": "174200000X",
"taxonomy_group": "",
"desc": "Meals",
"state": "NC",
"license": "HC3519",
"primary": false
},
{
"code": "251S00000X",
"taxonomy_group": "",
"desc": "Community/Behavioral Health",
"state": "NC",
"license": "HC3519",
"primary": false
},
{
"code": "175T00000X",
"taxonomy_group": "",
"desc": "Peer Specialist",
"state": "NC",
"license": "HC3519",
"primary": false
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "6601585",
"state": "NC"
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "3418248",
"state": "NC"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Rougemont, NC
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 24, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.