Active NPI
Monarch
- Intellectual Disabilities Intermediate Care Facility
- Rockingham, NC
National Provider Identifier
1699816140
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Intellectual Disabilities Intermediate Care Facility
- License
- MHL-077-006
- Legal business name
- MONARCH
- Practice address
- 142 Mallard LN
Rockingham, NC 28379-5200 - Phone
- (910) 895-3428
- Fax
- (910) 895-1410
- NPI assigned
- Feb 9, 2007
- Last updated
- Mar 31, 2021
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Mrs. Cindy Jones
- Title
- Cfo
- Phone
- (704) 986-1522
Specialties & licenses 5
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Custodial Care Facility | 311Z00000X | |||
| Intellectual Disabilities Intermediate Care Facility | 315P00000X | MHL-077-006 | NC | Primary |
| Intellectual and/or Developmental Disabilities Residential Treatment Facility | 320600000X | MHL-077-006 | NC | |
| Intellectual and/or Developmental Disabilities Community Based Residential Treatment Facility | 320900000X | |||
| Community/Behavioral Health Agency | 251S00000X |
Addresses
Primary practice location
142 Mallard LN
Rockingham, NC 28379-5200
Mailing address
350 Pee Dee Ave
Suite a
Albemarle, NC 28001-4945
Phone (704) 986-1522
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 3416332 | Medicaid | NC |
National Provider Directory
National Provider Directory- Tax ID family
- Arc Services Inc
Organizations with this tax ID in the same state 24
This tax ID family is large, so up to 24 of its organizations in the same state are linked here.
-
- Community/Behavioral Health Agency
- Hamlet, NC
- NPI 1659719649
-
- Adult Care Home Facility
- Four Oaks, NC
- NPI 1669804167
-
- Assisted Living Facility
- Aberdeen, NC
- NPI 1669810651
-
- Intellectual and/or Developmental Disabilities Residential Treatment Facility
- Norwood, NC
- NPI 1679700421
-
- Community/Behavioral Health Agency
- Concord, NC
- NPI 1689452633
-
- Community/Behavioral Health Agency
- Lumberton, NC
- NPI 1689965576
-
- Assisted Living Facility
- Raeford, NC
- NPI 1699095299
-
- Developmentally Disabled Services Day Training Agency
- Laurinburg, NC
- NPI 1699113076
-
- Assisted Living Facility
- Charlotte, NC
- NPI 1699113878
-
- Community/Behavioral Health Agency
- Raleigh, NC
- NPI 1699246967
-
- Community/Behavioral Health Agency
- Pittsboro, NC
- NPI 1699635763
-
- Intellectual Disabilities Intermediate Care Facility
- Albemarle, NC
- NPI 1699827121
Locations
142 Mallard Ln
Rockingham, NC 28379
Phone (910) 895-3428
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1170979200000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1617148800000",
"number": "1699816140",
"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": "704-986-1522",
"fax_number": "704-982-5279"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "142 MALLARD LN",
"city": "ROCKINGHAM",
"state": "NC",
"postal_code": "283795200",
"telephone_number": "910-895-3428",
"fax_number": "910-895-1410"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "MONARCH",
"organizational_subpart": "NO",
"enumeration_date": "2007-02-09",
"last_updated": "2021-03-31",
"certification_date": "2021-03-31",
"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",
"authorized_official_name_prefix": "Mrs."
},
"taxonomies": [
{
"code": "311Z00000X",
"taxonomy_group": "",
"desc": "Custodial Care Facility",
"state": null,
"license": null,
"primary": false
},
{
"code": "315P00000X",
"taxonomy_group": "",
"desc": "Intermediate Care Facility, Intellectual Disabilities",
"state": "NC",
"license": "MHL-077-006",
"primary": true
},
{
"code": "320600000X",
"taxonomy_group": "",
"desc": "Residential Treatment Facility, Intellectual and/or Developmental Disabilities",
"state": "NC",
"license": "MHL-077-006",
"primary": false
},
{
"code": "320900000X",
"taxonomy_group": "",
"desc": "Community Based Residential Treatment Facility, Intellectual and/or Developmental Disabilities",
"state": null,
"license": null,
"primary": false
},
{
"code": "251S00000X",
"taxonomy_group": "",
"desc": "Community/Behavioral Health",
"state": null,
"license": null,
"primary": false
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "3416332",
"state": "NC"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Rockingham, NC
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 31, 2021; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.