Active NPI
Monarch
- Intellectual and/or Developmental Disabilities Residential Treatment Facility
- Ansonville, NC
National Provider Identifier
1972643989
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Intellectual and/or Developmental Disabilities Residential Treatment Facility
- License
- MHL-004-004
- Legal business name
- MONARCH
- Practice address
- 1215 Ansonville Polkton Road
Ansonville, NC 28007-0727 - Phone
- (704) 826-6233
- Fax
- (704) 826-6230
- NPI assigned
- Feb 7, 2007
- 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 |
|---|---|---|---|---|
| Community/Behavioral Health Agency | 251S00000X | |||
| Custodial Care Facility | 311Z00000X | |||
| Intellectual Disabilities Intermediate Care Facility | 315P00000X | |||
| Intellectual and/or Developmental Disabilities Residential Treatment Facility | 320600000X | MHL-004-004 | NC | Primary |
| Intellectual and/or Developmental Disabilities Community Based Residential Treatment Facility | 320900000X |
Addresses
Primary practice location
1215 Ansonville Polkton Road
Ansonville, NC 28007-0727
Mailing address
350 Pee Dee Ave
Suite a
Albemarle, NC 28001-4945
Phone (407) 986-1522
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 3406395 | Medicaid | NC |
National Provider Directory
National Provider Directory- Tax ID family
- Monarch in Albemarle
Organizations with this tax ID in the same state 16
This tax ID family is large, so up to 24 of its organizations in the same state are linked here.
-
- Assisted Living Facility
- Ellerbe, NC
- NPI 1912134743
-
- Community/Behavioral Health Agency
- Zebulon, NC
- NPI 1912345380
-
- Community/Behavioral Health Agency
- Matthews, NC
- NPI 1912549643
-
- Community/Behavioral Health Agency
- Asheville, NC
- NPI 1922861483
-
- Adult Care Home Facility
- Charlotte, NC
- NPI 1922886886
-
- 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
-
- Intellectual and/or Developmental Disabilities Residential Treatment Facility
- Mount Gilead, NC
- NPI 1962543637
-
- Intellectual and/or Developmental Disabilities Community Based Residential Treatment Facility
- Monroe, NC
- NPI 1962725762
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1170806400000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1617148800000",
"number": "1972643989",
"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": "407-986-1522",
"fax_number": "704-982-5279"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1215 ANSONVILLE POLKTON ROAD",
"city": "ANSONVILLE",
"state": "NC",
"postal_code": "280070727",
"telephone_number": "704-826-6233",
"fax_number": "704-826-6230"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "MONARCH",
"organizational_subpart": "NO",
"enumeration_date": "2007-02-07",
"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": "251S00000X",
"taxonomy_group": "",
"desc": "Community/Behavioral Health",
"state": null,
"license": null,
"primary": false
},
{
"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": null,
"license": null,
"primary": false
},
{
"code": "320600000X",
"taxonomy_group": "",
"desc": "Residential Treatment Facility, Intellectual and/or Developmental Disabilities",
"state": "NC",
"license": "MHL-004-004",
"primary": true
},
{
"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": "3406395",
"state": "NC"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Ansonville, 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.