Active NPI
Monarch
- Intellectual and/or Developmental Disabilities Residential Treatment Facility
- Mount Gilead, NC
National Provider Identifier
1962543637
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Intellectual and/or Developmental Disabilities Residential Treatment Facility
- License
- MHL-062-009
- Legal business name
- MONARCH
- Practice address
- 205 E Ingram St
Mount Gilead, NC 27306-9246 - Phone
- (910) 439-1307
- Fax
- (910) 639-1565
- NPI assigned
- Feb 8, 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 | NU | ||
| Intellectual Disabilities Intermediate Care Facility | 315P00000X | NU | ||
| Intellectual and/or Developmental Disabilities Residential Treatment Facility | 320600000X | MHL-062-009 | NC | Primary |
| Intellectual and/or Developmental Disabilities Community Based Residential Treatment Facility | 320900000X | NU | ||
| Community/Behavioral Health Agency | 251S00000X | NU |
Addresses
Primary practice location
205 E Ingram St
Mount Gilead, NC 27306-9246
Mailing address
350 Pee Dee Ave
Suite a
Albemarle, NC 28001-4945
Phone (704) 986-1522
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 340609X | Medicaid | NC |
National Provider Directory
National Provider Directory- Tax ID family
- Arc Services Inc
Organizations with this tax ID in the same state 18
This tax ID family is large, so up to 24 of its organizations in the same state are linked here.
-
- Community/Behavioral Health Agency
- Garner, NC
- NPI 1902217771
-
- Community/Behavioral Health Agency
- Albemarle, NC
- NPI 1902244247
-
- Assisted Living Facility
- Ellerbe, NC
- NPI 1912134743
-
- Community/Behavioral Health Agency
- Zebulon, NC
- NPI 1912345380
-
- Community/Behavioral Health Agency
- Matthews, NC
- NPI 1912549643
-
- Intellectual and/or Developmental Disabilities Residential Treatment Facility
- Albemarle, NC
- NPI 1932337920
-
- Adult Care Home Facility
- Smithfield, NC
- NPI 1932531266
-
- Community/Behavioral Health Agency
- Salisbury, NC
- NPI 1942341284
-
- Assisted Living Facility
- Hendersonville, NC
- NPI 1942431671
-
- Community/Behavioral Health Agency
- Goldsboro, NC
- NPI 1962040782
Locations
205 E Ingram St
Mount Gilead, NC 27306
Phone (910) 439-1307
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1170892800000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1617148800000",
"number": "1962543637",
"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": "205 E INGRAM ST",
"city": "MOUNT GILEAD",
"state": "NC",
"postal_code": "273069246",
"telephone_number": "910-439-1307",
"fax_number": "910-639-1565"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "MONARCH",
"organizational_subpart": "NO",
"enumeration_date": "2007-02-08",
"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": "NU",
"license": null,
"primary": false
},
{
"code": "315P00000X",
"taxonomy_group": "",
"desc": "Intermediate Care Facility, Intellectual Disabilities",
"state": "NU",
"license": null,
"primary": false
},
{
"code": "320600000X",
"taxonomy_group": "",
"desc": "Residential Treatment Facility, Intellectual and/or Developmental Disabilities",
"state": "NC",
"license": "MHL-062-009",
"primary": true
},
{
"code": "320900000X",
"taxonomy_group": "",
"desc": "Community Based Residential Treatment Facility, Intellectual and/or Developmental Disabilities",
"state": "NU",
"license": null,
"primary": false
},
{
"code": "251S00000X",
"taxonomy_group": "",
"desc": "Community/Behavioral Health",
"state": "NU",
"license": null,
"primary": false
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "340609X",
"state": "NC"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Mount Gilead, NC
- Johnny L. McKinnon Jr., DDS
- MCPC-8, LLC (FirstHealth Convenient Care - Lake Tillery)
- Bobby McRae
- Moderate Living for the Aging Inc (Mt. Gilead Independent Senior and Assisted Living)
- Monarch
- Mount Gilead LLC
- Mount Gilead LLC (Cochrane Ridenhour Drug Co #3)
- Patton Group, LLC (Evans Rest Home)
- Providence Facilities
- Shipman Family Home Care Inc.
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.