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Organization Active NPI

Monarch

  • Intellectual Disabilities Intermediate Care Facility
  • Albemarle, NC
National Provider Identifier
1003957556
Registry record updated Mar 31, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Intellectual Disabilities Intermediate Care FacilityTaxonomy code 315P00000X
License
MHL-084-065 Issued in NC
Legal business name
MONARCH
Practice address
1615 Moss Springs Rd
Albemarle, NC 28001-7820
Phone
(704) 982-5619
Fax
(704) 982-3850
NPI assigned
Feb 9, 2007
Last updated
Mar 31, 2021By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Mar 31, 2021

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name
Mrs. Cindy Jones
Title
Cfo
Phone
(704) 986-1522

Specialties & licenses 5

Specialty (taxonomy)CodeLicenseStatePrimary
Custodial Care Facility 311Z00000X
Intellectual Disabilities Intermediate Care Facility 315P00000X MHL-084-065 NC Primary
Intellectual and/or Developmental Disabilities Residential Treatment Facility 320600000X
Intellectual and/or Developmental Disabilities Community Based Residential Treatment Facility 320900000X
Community/Behavioral Health Agency 251S00000X

Addresses

Primary practice location

1615 Moss Springs Rd
Albemarle, NC 28001-7820

Mailing address

350 Pee Dee Ave
Suite a
Albemarle, NC 28001-4945
Phone (704) 986-1522

Other identifiers 1

IdentifierTypeStateIssuer
3406481MedicaidNC

National Provider Directory

National Provider Directory
Tax ID family
Arc Services Inc242 organizations share this tax ID, including this one

Organizations with this tax ID in the same state 16

This tax ID family is large, so up to 24 of its organizations in the same state are linked here.

View all 16

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1170979200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1617148800000",
    "number": "1003957556",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "350 PEE DEE AVE",
            "address_2": "SUITE A",
            "city": "ALBEMARLE",
            "state": "NC",
            "postal_code": "280014945",
            "telephone_number": "704-986-1522",
            "fax_number": "704-982-5279"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1615 MOSS SPRINGS RD",
            "city": "ALBEMARLE",
            "state": "NC",
            "postal_code": "280017820",
            "telephone_number": "704-982-5619",
            "fax_number": "704-982-3850"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MONARCH",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-02-09",
        "last_updated": "2021-03-31",
        "certification_date": "2021-03-31",
        "status": "A",
        "authorized_official_last_name": "JONES",
        "authorized_official_first_name": "CINDY",
        "authorized_official_title_or_position": "CFO",
        "authorized_official_telephone_number": "704-986-1522",
        "authorized_official_name_prefix": "Mrs."
    },
    "taxonomies": [
        {
            "code": "311Z00000X",
            "taxonomy_group": "",
            "desc": "Custodial Care Facility",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "315P00000X",
            "taxonomy_group": "",
            "desc": "Intermediate Care Facility, Intellectual Disabilities",
            "state": "NC",
            "license": "MHL-084-065",
            "primary": true
        },
        {
            "code": "320600000X",
            "taxonomy_group": "",
            "desc": "Residential Treatment Facility, Intellectual and/or Developmental Disabilities",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "320900000X",
            "taxonomy_group": "",
            "desc": "Community Based Residential Treatment Facility, Intellectual and/or Developmental Disabilities",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "251S00000X",
            "taxonomy_group": "",
            "desc": "Community/Behavioral Health",
            "state": null,
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "3406481",
            "state": "NC"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Albemarle, NC

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 31, 2021; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.