Monarch Holding, Inc.

Primary specialty

Intellectual Disabilities Intermediate Care FacilityTaxonomy code 315P00000X

Legal business name

MONARCH HOLDING, INC.

Practice address

812 Live Oak Dr
Desoto, TX 75115-3402

Phone

(800) 299-5161

Fax

(817) 447-3033

NPI assigned

May 31, 2007

Organization subpart

Yes

Parent organization

MONARCH HOLDING, INC.As reported in NPPES

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

Authorized official

Name

Anna Todd

Title

Operations Business Manager

Phone

(800) 299-5161

Specialties & licenses 1

Addresses

Other identifiers 2

Other names 1

• Live Oak Doing business as

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Intermediate care facility for individuals with intellectual disabilities certification: CCN 45G473

Legal name

LIVE OAK

Certification status

Active

Provider type (POS)

Intermediate care facility for individuals with intellectual disabilities

Participating since

Mar 25, 1991

Last certification

Dec 18, 2024

Beds

6

Ownership / control type

Private (proprietary)

Most recent change of ownership

Sep 27, 2019

Facility address

812 Live Oak
Desoto, TX 75115

These CMS records do not include an NPI. They are shown because their name and street address match this provider’s.

CLIA laboratory certificates

Tax ID family

Monarch Holding Inc3 organizations share this tax ID, including this one

Part of

Monarch Holding Inc

Other organizations with this tax ID 2

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

• Monarch Holding, Inc.

  • Intellectual Disabilities Intermediate Care Facility
  • Lancaster, TX
  • NPI 1326249855
  NPD tax ID
• Monarch Holding, Inc.

  • Intellectual Disabilities Intermediate Care Facility
  • Dallas, TX
  • NPI 1861693392
  NPD tax ID

Parent organization (reported in NPPES) 1

This organization reports itself as a subpart in NPPES; the parent’s legal name matches this organization in the same state.

• Monarch Holding, Inc.

  • Intellectual Disabilities Intermediate Care Facility
  • Lancaster, TX
  • NPI 1326249855
  NPPES parent name

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

{
    "created_epoch": "1180569600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1611100800000",
    "number": "1164623690",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4800 OVERTON PLZ STE 440",
            "city": "FORT WORTH",
            "state": "TX",
            "postal_code": "761094435",
            "telephone_number": "800-299-5161",
            "fax_number": "817-447-3033"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "812 LIVE OAK DR",
            "city": "DESOTO",
            "state": "TX",
            "postal_code": "751153402",
            "telephone_number": "800-299-5161",
            "fax_number": "817-447-3033"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MONARCH HOLDING, INC.",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "MONARCH HOLDING, INC.",
        "enumeration_date": "2007-05-31",
        "last_updated": "2021-01-20",
        "certification_date": "2021-01-20",
        "status": "A",
        "authorized_official_last_name": "TODD",
        "authorized_official_first_name": "ANNA",
        "authorized_official_title_or_position": "OPERATIONS BUSINESS MANAGER",
        "authorized_official_telephone_number": "800-299-5161"
    },
    "taxonomies": [
        {
            "code": "315P00000X",
            "taxonomy_group": "",
            "desc": "Intermediate Care Facility, Intellectual Disabilities",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "CONTRACT #",
            "identifier": "000725201",
            "state": "TX"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "ICF LICENSE",
            "identifier": "148005",
            "state": "TX"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Live Oak",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "Live Oak",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

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• Intellectual Disabilities Intermediate Care Facility in Desoto, TX
• Providers in Desoto, TX by specialty
• Intellectual Disabilities Intermediate Care Facility in Texas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 20, 2021; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; facility enrollments, owners and changes of ownership; Provider of Services certification data.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.