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MONARCH NPI 1558402016


NPI Information

NPI: 1558402016
Provider Name: MONARCH
Classification: Residential Treatment Facility, Intellectual and/or Developmental Disabilities - 320600000X
Entity Type: Organization
Address:
5260 PINEVIEW DR
WINSTON SALEM, NC
ZIP 27105
Phone: (336) 744-1805
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MONARCH is a residential treatment facility, intellectual and/or developmental disabilities in Winston Salem, NC. The provider is a residential facility that provides habilitation services and other care and treatment to adults or children diagnosed with developmental and intellectual disabilities and are not able to live independently. MONARCH NPI is 1558402016. The provider is registered as an organization entity type.

The provider's business location address is:

5260 PINEVIEW DR
WINSTON SALEM, NC
ZIP 27105-834
Phone: (336) 744-1805

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 12/19/2019.


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
1311Z00000XCustodial Care FacilityNo
2315P00000XIntermediate Care Facility, Intellectual DisabilitiesNo
3320600000XResidential Treatment Facility, Intellectual and/or Developmental DisabilitiesMHL-034-010NORTH CAROLINAYes
4320900000XCommunity Based Residential Treatment Facility, Intellectual and/or Developmental DisabilitiesNo
5251S00000XCommunity/Behavioral HealthNo

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
13416313MEDICAIDNORTH 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: 4/28/2024

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