Organization Active NPI

Monarch

  • Adult Care Home Facility
  • Mount Pleasant, NC
National Provider Identifier
1033346887
Registry record updated Aug 21, 2013
On this page

Key facts

NPPES NPI Registry
Primary specialty
Adult Care Home FacilityTaxonomy code 311ZA0620X
Legal business name
MONARCH
Practice address
900 Circle Dr
Mount Pleasant, NC 28124-8555
Phone
(704) 436-2573
Fax
(704) 436-2451
NPI assigned
Jun 19, 2009
Last updated
Aug 21, 2013By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 21, 2013

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

Authorized official

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

Specialties & licenses 5

Specialty (taxonomy)CodeLicenseStatePrimary
Assisted Living Facility 310400000X
Adult Care Home Facility 311ZA0620X Primary
Intellectual and/or Developmental Disabilities Residential Treatment Facility 320600000X
Intellectual and/or Developmental Disabilities Community Based Residential Treatment Facility 320900000X MHL-013-117 NC
Community/Behavioral Health Agency 251S00000X

Addresses

Primary practice location

900 Circle Dr
Mount Pleasant, NC 28124-8555

Mailing address

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

Other identifiers 1

IdentifierTypeStateIssuer
7805454MedicaidNC

National Provider Directory

National Provider Directory
Tax ID family
Monarch2 organizations share this tax ID, including this one

Other organizations with this tax ID 1

Organizations that report the same tax identification number in the National Provider Directory.

Locations

900 Circle Dr
Mount Pleasant, NC 28124
Phone (704) 436-2573

NPI Registry JSON

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

{
    "created_epoch": "1245369600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1377043200000",
    "number": "1033346887",
    "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": "900 CIRCLE DR",
            "city": "MOUNT PLEASANT",
            "state": "NC",
            "postal_code": "281248555",
            "telephone_number": "704-436-2573",
            "fax_number": "704-436-2451"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MONARCH",
        "organizational_subpart": "NO",
        "enumeration_date": "2009-06-19",
        "last_updated": "2013-08-21",
        "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"
    },
    "taxonomies": [
        {
            "code": "310400000X",
            "taxonomy_group": "",
            "desc": "Assisted Living Facility",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "311ZA0620X",
            "taxonomy_group": "",
            "desc": "Custodial Care Facility, Adult Care Home",
            "state": null,
            "license": null,
            "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": "NC",
            "license": "MHL-013-117",
            "primary": false
        },
        {
            "code": "251S00000X",
            "taxonomy_group": "",
            "desc": "Community/Behavioral Health",
            "state": null,
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "7805454",
            "state": "NC"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Mount Pleasant, NC

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 21, 2013; 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.