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MONARCH NPI 1003957556


NPI Information

NPI: 1003957556
Provider Name: MONARCH
Classification: Intermediate Care Facility, Intellectual Disabilities - 315P00000X
Entity Type: Organization
Address:
1615 MOSS SPRINGS RD
ALBEMARLE, NC
ZIP 28001
Phone: (704) 982-5619
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MONARCH is an intermediate care facility mentally retarded in Albemarle, NC. The provider is an intermediate care facility providing services for individuals with intellectual disabilities. MONARCH NPI is 1003957556. The provider is registered as an organization entity type.

The provider's business location address is:

1615 MOSS SPRINGS RD
ALBEMARLE, NC
ZIP 28001-820
Phone: (704) 982-5619
Fax: (704) 982-3850

The provider's authorized official is Cindy Jones .
The authorized official title is Cfo and has the following contact phone number (704) 986-1522.

The enumeration date for this NPI number is 2/9/2007 and was last updated on 3/31/2021.


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 Code Taxonomy Clasification Taxonomy Specialization License Number License State Primary
1251S00000XCommunity/Behavioral HealthNo
2311Z00000XCustodial Care FacilityNo
3320900000XCommunity Based Residential Treatment Facility, Intellectual and/or Developmental DisabilitiesNo
4320600000XResidential Treatment Facility, Intellectual and/or Developmental DisabilitiesNo
5315P00000XIntermediate Care Facility, Intellectual DisabilitiesMHL-084-065NORTH CAROLINAYes

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 Identifier Other Provider Identifier Type Other Provider Identifier State Other Provider Identifier Issuer
13406481MEDICAIDNORTH CAROLINA

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: 5/5/2024

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