MEDICARE: MONARCH

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	251S00000X	Community/Behavioral Health Agency
2	311ZA0620X	Adult Care Home Facility

General Provider Information

NPI Number	:	1043098924
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	MONARCH

Provider Business Mailing Address
First Line	:	350 PEE DEE AVE STE 101
Second Line	:
City	:	ALBEMARLE
State	:	NC
Zip	:	28001-4945
Country	:	US
Telephone Number	:	866-272-7826
Fax Number	:

Provider Business Practice Location Address
First Line	:	2430 UMAR CT
Second Line	:
City	:	CHARLOTTE
State	:	NC
Zip	:	28215-3259
Country	:	US
Telephone Number	:	866-272-7826
Fax Number	:

Authorized Official
Title or Position	:	CONTROLLER
Name	:	LORI MANESS
Credential	:
Telephone Number	:	704-986-1523

Provider Enumeration Date	:	09/20/2023
Last Update Date	:	09/24/2025

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Directions to “MONARCH ” Practice Location

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