Organization Active NPI

Monarch Medical & Rehab Supply Inc

  • Durable Medical Equipment & Medical Supplies
  • Fort Worth, TX
National Provider Identifier
1902118730
Registry record updated May 2, 2017
On this page

Key facts

NPPES NPI Registry
Primary specialty
Durable Medical Equipment & Medical SuppliesTaxonomy code 332B00000X
License
1000422 Issued in TX
Legal business name
MONARCH MEDICAL & REHAB SUPPLY INC
Practice address
5650 Kroger Dr
Suite 100
Fort Worth, TX 76244-5684
Phone
(817) 753-6337
Fax
(888) 303-4136
NPI assigned
Jul 9, 2010
Last updated
May 2, 2017By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on May 2, 2017

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

Authorized official

Name
Jeffrey Abate
Title
Owner
Phone
(817) 753-6337

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Durable Medical Equipment & Medical Supplies 332B00000X 1000422 TX Primary
Customized Equipment (DME) 332BC3200X
Prosthetic/Orthotic Supplier 335E00000X

Addresses

Primary practice location

5650 Kroger Dr
Suite 100
Fort Worth, TX 76244-5684

Mailing address

5650 Kroger Dr
Suite 100
Fort Worth, TX 76244-5684
Phone (817) 753-6337

Other identifiers 3

IdentifierTypeStateIssuer
283219801MedicaidTX
283219803MedicaidTX
283219802MedicaidTX

National Provider Directory

National Provider Directory

Locations

5650 Kroger Dr
Ste 100
Fort Worth, TX 76244
Phone (817) 753-6337

1961 S Main St
Ste 300
Keller, TX 76248
Phone (817) 753-6337

204 S Main St
Ste 235
Keller, TX 76248
Phone (888) 830-3018

NPI Registry JSON

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

{
    "created_epoch": "1278633600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1493683200000",
    "number": "1902118730",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5650 KROGER DR",
            "address_2": "SUITE 100",
            "city": "FORT WORTH",
            "state": "TX",
            "postal_code": "762445684",
            "telephone_number": "817-753-6337",
            "fax_number": "888-303-4136"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5650 KROGER DR",
            "address_2": "SUITE 100",
            "city": "FORT WORTH",
            "state": "TX",
            "postal_code": "762445684",
            "telephone_number": "817-753-6337",
            "fax_number": "888-303-4136"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MONARCH MEDICAL & REHAB SUPPLY INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2010-07-09",
        "last_updated": "2017-05-02",
        "status": "A",
        "authorized_official_last_name": "ABATE",
        "authorized_official_first_name": "JEFFREY",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "817-753-6337"
    },
    "taxonomies": [
        {
            "code": "332B00000X",
            "taxonomy_group": "",
            "desc": "Durable Medical Equipment & Medical Supplies",
            "state": "TX",
            "license": "1000422",
            "primary": true
        },
        {
            "code": "332BC3200X",
            "taxonomy_group": "",
            "desc": "Durable Medical Equipment & Medical Supplies, Customized Equipment",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "335E00000X",
            "taxonomy_group": "",
            "desc": "Prosthetic/Orthotic Supplier",
            "state": null,
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "283219801",
            "state": "TX"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "283219803",
            "state": "TX"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "283219802",
            "state": "TX"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Fort Worth, TX

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 2, 2017; 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.