Organization
MELINATED MOMS, LLC
Active
Other names
Melinated Moms
Organization subpart
No
Provider details
NPI number
Authorized official
JATESHA PORTIA-ARLEE MADDEN-WILSON LPN (CEO/EXECUTIVE DIRECTOR)
(716) 984-9672
Entity
Organization
Contact information
Practice address
470 CHAMBERLIN AVE SUITE 11, PATTERSON, NJ 07522
(908) 858-2820
Mailing address
247 E FRONT ST STE 140, TRENTON, NJ 08611-1717
(908) 858-2820
Taxonomy
Speciality
Code
Description
License number
State
171M00000X
Case Manager/Care Coordinator
—
—
171W00000X
Contractor
—
—
172V00000X
Community Health Worker
—
—
174H00000X
Health Educator
—
—
207VC0300X
Complex Family Planning Physician
—
—
251B00000X
Case Management Agency
Primary
—
—
251S00000X
Community/Behavioral Health Agency
—
—
253Z00000X
In Home Supportive Care Agency
—
—
261QC1500X
Community Health Clinic/Center
—
—
261QF0050X
Non-Surgical Family Planning Clinic/Center
—
—
261QH0100X
Health Service Clinic/Center
—
—
261QM1300X
Multi-Specialty Clinic/Center
—
—
363L00000X
Nurse Practitioner
—
—
374J00000X
Doula
—
—
390200000X
Student in an Organized Health Care Education/Training Program
—
—
Other
Enumeration date
05/11/2022
Last updated
05/01/2026
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