# MELINATED MOMS, LLC

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- **Entity:** Organization
- **Status:** Active
- **Other names:** Melinated Moms
- **Organization subpart:** No

## Provider details

- **NPI number:** 1932845989
- **Authorized official:** JATESHA PORTIA-ARLEE MADDEN-WILSON LPN (CEO/EXECUTIVE DIRECTOR)
- **Authorized official phone:** (716) 984-9672

## Contact information

- **Practice address:** 470 CHAMBERLIN AVE SUITE 11, PATTERSON, NJ 07522
- **Practice address phone:** (908) 858-2820
- **Mailing address:** 247 E FRONT ST STE 140, TRENTON, NJ 08611-1717
- **Mailing address phone:** (908) 858-2820

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 171M00000X | Case Manager/Care Coordinator | — | — | — |
| 171W00000X | Contractor | — | NULL | — |
| 171W00000X | Contractor | — | — | — |
| 172V00000X | Community Health Worker | — | NULL | — |
| 172V00000X | Community Health Worker | — | — | — |
| 174H00000X | Health Educator | — | NULL | — |
| 174H00000X | Health Educator | — | — | — |
| 207VC0300X | Complex Family Planning Physician | — | NULL | — |
| 207VC0300X | Complex Family Planning Physician | — | — | — |
| 251B00000X | Case Management Agency | — | NULL | Yes |
| 251S00000X | Community/Behavioral Health Agency | — | NULL | — |
| 253Z00000X | In Home Supportive Care Agency | — | NULL | — |
| 261QC1500X | Community Health Clinic/Center | — | NULL | — |
| 261QF0050X | Non-Surgical Family Planning Clinic/Center | — | NULL | — |
| 261QH0100X | Health Service Clinic/Center | — | NULL | — |
| 261QM1300X | Multi-Specialty Clinic/Center | — | NULL | — |
| 363L00000X | Nurse Practitioner | — | NULL | — |
| 363L00000X | Nurse Practitioner | — | — | — |
| 374J00000X | Doula | — | NULL | — |
| 374J00000X | Doula | — | — | — |
| 390200000X | Student in an Organized Health Care Education/Training Program | — | NULL | — |
| 390200000X | Student in an Organized Health Care Education/Training Program | — | — | — |

## Other

- **Enumeration date:** 05/11/2022
- **Last updated:** 05/01/2026