Provider Demographics
NPI:1992569628
Name:MELODY CARE LLC
Entity type:Organization
Organization Name:MELODY CARE LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:CEO
Authorized Official - Prefix:
Authorized Official - First Name:FOLASADE
Authorized Official - Middle Name:
Authorized Official - Last Name:OGUNTOLA
Authorized Official - Suffix:
Authorized Official - Credentials:NP, APN
Authorized Official - Phone:201-283-0856
Mailing Address - Street 1:404 RIO GRANDE DR
Mailing Address - Street 2:
Mailing Address - City:TOMS RIVER
Mailing Address - State:NJ
Mailing Address - Zip Code:08755-6395
Mailing Address - Country:US
Mailing Address - Phone:201-283-0856
Mailing Address - Fax:
Practice Address - Street 1:85 PARK TER
Practice Address - Street 2:
Practice Address - City:WEST ORANGE
Practice Address - State:NJ
Practice Address - Zip Code:07052-5716
Practice Address - Country:US
Practice Address - Phone:201-283-0856
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2024-02-13
Last Update Date:2024-04-28
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes320600000XResidential Treatment FacilitiesResidential Treatment Facility, Intellectual and/or Developmental Disabilities
No3104A0630XNursing & Custodial Care FacilitiesAssisted Living FacilityAssisted Living, Behavioral Disturbances
No320900000XResidential Treatment FacilitiesCommunity Based Residential Treatment Facility, Intellectual and/or Developmental Disabilities