Provider Demographics
NPI:1053104828
Name:MELCARE, LLC
Entity type:Organization
Organization Name:MELCARE, LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PROVIDER/OWNER
Authorized Official - Prefix:MS
Authorized Official - First Name:MELECIA
Authorized Official - Middle Name:NICOLENE
Authorized Official - Last Name:SMIKLE
Authorized Official - Suffix:
Authorized Official - Credentials:PMHNP, FNP
Authorized Official - Phone:803-448-0205
Mailing Address - Street 1:1153 BANNOCKBURN AVE
Mailing Address - Street 2:
Mailing Address - City:ROCK HILL
Mailing Address - State:SC
Mailing Address - Zip Code:29732-1121
Mailing Address - Country:US
Mailing Address - Phone:803-448-0205
Mailing Address - Fax:
Practice Address - Street 1:1153 BANNOCKBURN AVE
Practice Address - Street 2:
Practice Address - City:ROCK HILL
Practice Address - State:SC
Practice Address - Zip Code:29732-1121
Practice Address - Country:US
Practice Address - Phone:803-448-0205
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2025-05-26
Last Update Date:2025-06-04
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes363LP0808XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerPsychiatric/Mental HealthGroup - Single Specialty