Monarch
Organization Active NPI Assisted Living Facility · Raeford, NC
NPI 1598085102 · NPPES record last updated Jun 11, 2013
Key facts
- NPI
- 1598085102
- Entity type
- Organization (NPI type 2)
- Primary specialty
- Assisted Living Facility 310400000X
- Legal business name
- MONARCH
- Practice address
- 1212 E Prospect Ave
Raeford, NC 28376-3027 - Phone
- (910) 874-1487
- NPI assigned
- Jun 4, 2010
- Organization subpart
- No
Authorized official
- Name
- Cindy Jones
- Title
- Cfo
- Phone
- (704) 986-1522
Corporate family (same tax ID) 24
National Provider Directory
- Tax ID family
- Monarch in Albemarle
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Community/Behavioral Health Agency | 251S00000X | |||
| Assisted Living Facility | 310400000X | Yes | ||
| Adult Care Home Facility | 311ZA0620X | |||
| Intellectual and/or Developmental Disabilities Residential Treatment Facility | 320600000X | MHL-047-129 | NC | |
| Intellectual and/or Developmental Disabilities Community Based Residential Treatment Facility | 320900000X |
Addresses
Primary practice location
1212 E Prospect Ave
Raeford, NC 28376-3027
Mailing address
350 Pee Dee Ave
Suite a
Albemarle, NC 28001-4945
Phone (704) 986-1500
Other identifiers
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 7806579 | Medicaid | NC |
NPI Registry JSON
{
"created_epoch": "1275609600000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1370908800000",
"number": "1598085102",
"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": "704-986-1500",
"fax_number": "704-982-5279"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1212 E PROSPECT AVE",
"city": "RAEFORD",
"state": "NC",
"postal_code": "283763027",
"telephone_number": "910-874-1487"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "MONARCH",
"organizational_subpart": "NO",
"enumeration_date": "2010-06-04",
"last_updated": "2013-06-11",
"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": "251S00000X",
"taxonomy_group": "",
"desc": "Community/Behavioral Health",
"state": null,
"license": null,
"primary": false
},
{
"code": "310400000X",
"taxonomy_group": "",
"desc": "Assisted Living Facility",
"state": null,
"license": null,
"primary": true
},
{
"code": "311ZA0620X",
"taxonomy_group": "",
"desc": "Custodial Care Facility, Adult Care Home",
"state": null,
"license": null,
"primary": false
},
{
"code": "320600000X",
"taxonomy_group": "",
"desc": "Residential Treatment Facility, Intellectual and/or Developmental Disabilities",
"state": "NC",
"license": "MHL-047-129",
"primary": false
},
{
"code": "320900000X",
"taxonomy_group": "",
"desc": "Community Based Residential Treatment Facility, Intellectual and/or Developmental Disabilities",
"state": null,
"license": null,
"primary": false
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "7806579",
"state": "NC"
}
],
"endpoints": [],
"other_names": []
}Other providers in Raeford, NC
- Robyn Ann Mirassou
- Michele Diane Mitchell
- Mommy'S Manna, PLLC
- Monarch
- Monarch
- Monarch
- Monarch
- Christopher Monroe
- Margaret Anne Monroe
- Martina Dockery Monroe
All providers in Raeford, NC · Assisted Living Facility in North Carolina
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Jun 11, 2013. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.