Organization Active NPI

Monarch Supportive Services LLC

  • Mental Illness Community Based Residential Treatment Facility
  • Brown Deer, WI
National Provider Identifier
1336094879
Registry record updated Mar 2, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Mental Illness Community Based Residential Treatment FacilityTaxonomy code 320800000X
Legal business name
MONARCH SUPPORTIVE SERVICES LLC
Practice address
8720 N Deerwood Dr Apt 313
Brown Deer, WI 53209-1324
Phone
(708) 890-2204
NPI assigned
Mar 2, 2026
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Mar 2, 2026

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

Authorized official

Name
Jessica Lushelle AdebowaleNPI 1053264044
Title
Owner
Phone
(708) 890-2204

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Mental Illness Community Based Residential Treatment Facility 320800000X Primary

Addresses

Primary practice location

8720 N Deerwood Dr Apt 313
Brown Deer, WI 53209-1324

Mailing address

8720 N Deerwood Dr Apt 313
Brown Deer, WI 53209-1324
Phone (708) 890-2204

National Provider Directory

National Provider Directory

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1772409600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1772409600000",
    "number": "1336094879",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "8720 N DEERWOOD DR APT 313",
            "city": "BROWN DEER",
            "state": "WI",
            "postal_code": "532091324",
            "telephone_number": "708-890-2204"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "8720 N DEERWOOD DR APT 313",
            "city": "BROWN DEER",
            "state": "WI",
            "postal_code": "532091324",
            "telephone_number": "708-890-2204"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MONARCH SUPPORTIVE SERVICES LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2026-03-02",
        "last_updated": "2026-03-02",
        "certification_date": "2026-03-01",
        "status": "A",
        "authorized_official_last_name": "ADEBOWALE",
        "authorized_official_first_name": "JESSICA",
        "authorized_official_middle_name": "LUSHELLE",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "708-890-2204"
    },
    "taxonomies": [
        {
            "code": "320800000X",
            "taxonomy_group": "",
            "desc": "Community Based Residential Treatment Facility, Mental Illness",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Brown Deer, WI

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 2, 2026; 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.