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MONARCH NPI 1124255971


NPI Information

NPI: 1124255971
Provider Name: MONARCH
Classification: Assisted Living Facility - 3104A0625X
Entity Type: Organization

Specialization: Assisted Living, Mental Illness

Address:
199 WEST WASHINGTON STREET
BETHEL, NC
ZIP 27812
Phone: (252) 825-0480
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MONARCH is an assisted living and mental illness assisted living facility in Bethel, NC. The provider is a facility providing supportive services to individuals who can function independently in most areas of activity, but need special guidance, assistance and/or monitoring as the result of a psychiatric problem. This type of facility requires a staff with special training in mental health training and dealing with psychiatric emergencies. MONARCH NPI is 1124255971. The provider is registered as an organization entity type.

The provider's business location address is:

199 WEST WASHINGTON STREET
BETHEL, NC
ZIP 27812-497
Phone: (252) 825-0480
Fax: (252) 825-1955

The provider's authorized official is Cindy Jones .
The authorized official title is Cfo and has the following contact phone number (704) 986-1522.

The enumeration date for this NPI number is 6/19/2009 and was last updated on 6/11/2013.


Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No. Taxonomy Code Taxonomy Clasification Taxonomy Specialization License Number License State Primary
1251S00000XCommunity/Behavioral HealthNo
2320600000XResidential Treatment Facility, Intellectual and/or Developmental DisabilitiesNo
3320900000XCommunity Based Residential Treatment Facility, Intellectual and/or Developmental DisabilitiesNo
4311ZA0620XCustodial Care FacilityAdult Care HomeMHL-074-020NORTH CAROLINANo
53104A0625XAssisted Living FacilityAssisted Living, Mental IllnessYes

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No. Other Provider Identifier Other Provider Identifier Type Other Provider Identifier State Other Provider Identifier Issuer
17805451MEDICAIDNORTH CAROLINA

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 5/5/2024

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