NPIMap

Organization Active NPI

Monarch Lifeworks

  • Intellectual Disabilities Intermediate Care Facility
  • Shaker Heights, OH
National Provider Identifier
1366988800
Registry record updated Jun 18, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
Intellectual Disabilities Intermediate Care FacilityTaxonomy code 315P00000X
Legal business name
MONARCH LIFEWORKS
Practice address
2675 Green Rd
Shaker Heights, OH 44122-2135
Phone
(216) 765-0601
Fax
(216) 765-0611
NPI assigned
Jan 9, 2017
Organization subpart
Yes
Parent organization
BELLEFAIRE JCBAs reported in NPPES

NPPES NPI Registry

Updated by the provider on Jun 18, 2019

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

Authorized official

Name
Leigh Johnson
Title
General Counsel
Phone
(216) 320-8222

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Community/Behavioral Health Agency 251S00000X 32471 OH
Intellectual Disabilities Intermediate Care Facility 315P00000X Primary
Intellectual and/or Developmental Disabilities Residential Treatment Facility 320600000X 32471 OH

Addresses

Primary practice location

2675 Green Rd
Shaker Heights, OH 44122-2135

Mailing address

2675 Green Rd
Shaker Heights, OH 44122-2135
Phone (216) 765-0601

Other identifiers 3

IdentifierTypeStateIssuer
0078929MedicaidOH
1815782OtherOHOHIO DEPARTMENT OF DEVELOPMENTAL DISABILITIES FACILITY NUMBER
32471OtherOHOHIO DEPARTMENT OF DEVELOPMENTAL DISABILITIES CERTIFICATE NUMBER

Other names 1

  • Monarch Lifeworks - Viridis Other name

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

Intermediate care facility for individuals with intellectual disabilities certification: CCN 36G725

Name & address match This certification has no NPI in the Medicare enrollment files. CMS publishes enrollment files for six facility types only, so it was connected to this NPI by matching the name and address CMS publishes for it.

Legal name
VIRIDIS HOUSE
Certification status
Active
Provider type (POS)
Intermediate care facility for individuals with intellectual disabilities
Participating since
Apr 12, 2017
Last certification
Sep 18, 2025
Beds
6
Ownership / control type
Private (non-profit)
Facility address
2675 Green Road
Shaker Heights, OH 44122

National Provider Directory

National Provider Directory
Tax ID family
Monarch Lifeworks6 organizations share this tax ID, including this one
Part of
Bellefaire Jewish Children'S Bureau

Other organizations with this tax ID 5

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

NPI Registry JSON

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

{
    "created_epoch": "1483920000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1560816000000",
    "number": "1366988800",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2675 GREEN RD",
            "city": "SHAKER HEIGHTS",
            "state": "OH",
            "postal_code": "441222135",
            "telephone_number": "216-765-0601",
            "fax_number": "216-765-0611"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2675 GREEN RD",
            "city": "SHAKER HEIGHTS",
            "state": "OH",
            "postal_code": "441222135",
            "telephone_number": "216-765-0601",
            "fax_number": "216-765-0611"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MONARCH LIFEWORKS",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "BELLEFAIRE JCB",
        "enumeration_date": "2017-01-09",
        "last_updated": "2019-06-18",
        "status": "A",
        "authorized_official_last_name": "JOHNSON",
        "authorized_official_first_name": "LEIGH",
        "authorized_official_title_or_position": "GENERAL COUNSEL",
        "authorized_official_telephone_number": "216-320-8222"
    },
    "taxonomies": [
        {
            "code": "251S00000X",
            "taxonomy_group": "",
            "desc": "Community/Behavioral Health",
            "state": "OH",
            "license": "32471",
            "primary": false
        },
        {
            "code": "315P00000X",
            "taxonomy_group": "",
            "desc": "Intermediate Care Facility, Intellectual Disabilities",
            "state": null,
            "license": null,
            "primary": true
        },
        {
            "code": "320600000X",
            "taxonomy_group": "",
            "desc": "Residential Treatment Facility, Intellectual and/or Developmental Disabilities",
            "state": "OH",
            "license": "32471",
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "0078929",
            "state": "OH"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "OHIO DEPARTMENT OF DEVELOPMENTAL DISABILITIES FACILITY NUMBER",
            "identifier": "1815782",
            "state": "OH"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "OHIO DEPARTMENT OF DEVELOPMENTAL DISABILITIES CERTIFICATE NUMBER",
            "identifier": "32471",
            "state": "OH"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Monarch Lifeworks - Viridis",
            "code": "5",
            "type": "Other Name"
        },
        {
            "organization_name": "Monarch Lifeworks - Viridis",
            "code": "5",
            "type": "Other Name"
        }
    ]
}

Other providers in Shaker Heights, OH

Sources for this page

Verify at the official NPI Registry.