# MELODY BLUE HOME HEALTH CARE LLC

> Is this information incorrect? This page shows public data from NPPES. Update your record in NPPES and this page will update automatically within 7 days. [Update your NPPES record](https://nppes.cms.hhs.gov)

- **Entity:** Organization
- **Status:** Active
- **Organization subpart:** No

## Provider details

- **NPI number:** 1407442544
- **Authorized official:** WILLIAM J. HNATIK (COO)
- **Authorized official phone:** (907) 360-0250

## Contact information

- **Practice address:** 3679 S KILLARNEY ST, AURORA, CO 80013-6612
- **Practice address phone:** (720) 439-1505
- **Mailing address:** 3679 S KILLARNEY ST, AURORA, CO 80013-6612
- **Mailing address phone:** (720) 439-1505

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 251E00000X | Home Health Agency | — | NULL | — |
| 251J00000X | Nursing Care Agency | — | NULL | — |
| 253Z00000X | In Home Supportive Care Agency | — | NULL | Yes |

## Other

- **Enumeration date:** 12/13/2020
- **Last updated:** 09/14/2021