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MONARCH LIFEWORKS NPI 1528307055


NPI Information

NPI: 1528307055
Provider Name: MONARCH LIFEWORKS
Classification: Day Training, Developmentally Disabled Services - 251C00000X
Entity Type: Organization
Address:
3205 FAIRMOUNT BLVD
SHAKER HEIGHTS, OH
ZIP 44118
Phone: (216) 321-6744
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MONARCH LIFEWORKS is a day training developmentally disabled services in Shaker Heights, OH. The provider is these agencies are authorized to provide day habilitation services to developmentally disabled individuals who live in their homes. The function of day habilitation is to assist an individual to acquire and maintain those life skills that enable the individual to cope more effectively with the demands of independent living. Also to raise the level of the individual's physical, mental, social, and vocational functioning. MONARCH LIFEWORKS NPI is 1528307055. The provider is registered as an organization entity type.

The provider's business location address is:

3205 FAIRMOUNT BLVD
SHAKER HEIGHTS, OH
ZIP 44118-211
Phone: (216) 321-6744

The provider's authorized official is Adam G Jacobs .
The authorized official title is President and has the following contact phone number (216) 932-2800.

The enumeration date for this NPI number is 2/4/2013 and was last updated on 12/2/2019.


Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No.Taxonomy CodeTaxonomy ClasificationTaxonomy SpecializationLicense NumberLicense StatePrimary
1251C00000XDay Training, Developmentally Disabled Services1819198OHIOYes
2261QA0600XClinic/CenterAdult Day Care1819198OHIONo
3283X00000XRehabilitation Hospital1819198OHIONo
4343900000XNon-emergency Medical Transport (VAN)1819198OHIONo
5251S00000XCommunity/Behavioral Health1819198OHIONo

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No.Other Provider IdentifierOther Provider Identifier TypeOther Provider Identifier StateOther Provider Identifier Issuer
11819198OTHEROHIODEPARTMENT OF DEVELOPMENTAL DISABILITIES
20078929MEDICAIDOHIO

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 4/28/2024

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