NPIMap

Organization Active NPI

Monarch Lifeworks

  • Community/Behavioral Health Agency
  • Shaker Heights, OH
National Provider Identifier
1528307055
Registry record updated Oct 10, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Community/Behavioral Health AgencyTaxonomy code 251S00000X
License
1819198 Issued in OH
Legal business name
MONARCH LIFEWORKS
Practice address
3205 Fairmount Blvd
Shaker Heights, OH 44118-4211
Phone
(216) 321-6744
NPI assigned
Feb 4, 2013
Last updated
Oct 10, 2024By the provider in NPPES
Organization subpart
Yes
Parent organization
BELLEFAIRE JCBAs reported in NPPES

NPPES NPI Registry

Updated by the provider on Oct 10, 2024

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

Authorized official

Name
Adam G Jacobs, PH.D.
Title
President
Phone
(216) 932-2800

Specialties & licenses 6

Specialty (taxonomy)CodeLicenseStatePrimary
Developmentally Disabled Services Day Training Agency 251C00000X 1819198 OH
Adult Day Care Clinic/Center 261QA0600X 1819198 OH
Rehabilitation Hospital 283X00000X 1819198 OH
Non-emergency Medical Transport (VAN) 343900000X 1819198 OH
Respite Care 385H00000X NU
Community/Behavioral Health Agency 251S00000X 1819198 OH Primary

Addresses

Primary practice location

3205 Fairmount Blvd
Shaker Heights, OH 44118-4211

Mailing address

3205 Fairmount Blvd
Cleveland Heights, OH 44118-4211
Phone (216) 321-6744

Other practice location 1

2525 E 22nd St
Cleveland, OH 44115-3202
Phone (216) 932-2800

Other identifiers 2

IdentifierTypeStateIssuer
0078929MedicaidOH
1819198OtherOHDEPARTMENT OF DEVELOPMENTAL DISABILITIES

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.

Locations

2525 E 22nd St
Cleveland, OH 44115
Phone (216) 459-9827

Practitioners & affiliated clinicians

Practitioners 2

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

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

{
    "created_epoch": "1359936000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1728518400000",
    "number": "1528307055",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3205 FAIRMOUNT BLVD",
            "city": "CLEVELAND HEIGHTS",
            "state": "OH",
            "postal_code": "441184211",
            "telephone_number": "216-321-6744"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3205 FAIRMOUNT BLVD",
            "city": "SHAKER HEIGHTS",
            "state": "OH",
            "postal_code": "441184211",
            "telephone_number": "216-321-6744"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "2525 E 22nd St",
            "address_purpose": "LOCATION",
            "city": "Cleveland",
            "state": "OH",
            "postal_code": "441153202",
            "country_code": "US",
            "telephone_number": "216-932-2800",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "organization_name": "MONARCH LIFEWORKS",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "BELLEFAIRE JCB",
        "enumeration_date": "2013-02-04",
        "last_updated": "2024-10-10",
        "certification_date": "2024-10-10",
        "status": "A",
        "authorized_official_last_name": "JACOBS",
        "authorized_official_first_name": "ADAM",
        "authorized_official_middle_name": "G",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "216-932-2800",
        "authorized_official_credential": "PH.D."
    },
    "taxonomies": [
        {
            "code": "251C00000X",
            "taxonomy_group": "",
            "desc": "Day Training, Developmentally Disabled Services",
            "state": "OH",
            "license": "1819198",
            "primary": false
        },
        {
            "code": "261QA0600X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Adult Day Care",
            "state": "OH",
            "license": "1819198",
            "primary": false
        },
        {
            "code": "283X00000X",
            "taxonomy_group": "",
            "desc": "Rehabilitation Hospital",
            "state": "OH",
            "license": "1819198",
            "primary": false
        },
        {
            "code": "343900000X",
            "taxonomy_group": "",
            "desc": "Non-emergency Medical Transport (VAN)",
            "state": "OH",
            "license": "1819198",
            "primary": false
        },
        {
            "code": "385H00000X",
            "taxonomy_group": "",
            "desc": "Respite Care",
            "state": "NU",
            "license": null,
            "primary": false
        },
        {
            "code": "251S00000X",
            "taxonomy_group": "",
            "desc": "Community/Behavioral Health",
            "state": "OH",
            "license": "1819198",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "0078929",
            "state": "OH"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "DEPARTMENT OF DEVELOPMENTAL DISABILITIES",
            "identifier": "1819198",
            "state": "OH"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Shaker Heights, OH

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 10, 2024; 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.