Healthcare Provider Details
I. General information
NPI: 1407417124
Provider Name (Legal Business Name): MONROE OPERATIONS LLC
Entity Type: Organization
Gender:
Sole Proprietor:
II. Dates (important events)
Enumeration Date: 06/24/2019
Last Update Date: 10/14/2025
Certification Date: 10/14/2025
Deactivation Date:
Reactivation Date:
III. Provider practice location address
98 TODD HILL RD
BETHLEHEM CT
06751-1018
US
IV. Provider business mailing address
L-3969
COLUMBUS OH
43260-3969
US
V. Phone/Fax
- Phone: 714-202-5166
- Fax: 844-721-8190
- Phone: 714-202-5166
- Fax: 844-721-8190
VI. Provider taxonomy
Scope of Practice (Provider specialty)
| # 1 | |
| Primary Taxonomy | N |
| Taxonomy Code | 3245S0500X |
| Taxonomy | Children's Substance Abuse Rehabilitation Facility |
| License Number | |
| License Number State | |
| # 2 | |
| Primary Taxonomy | Y |
| Taxonomy Code | 323P00000X |
| Taxonomy | Psychiatric Residential Treatment Facility |
| License Number | |
| License Number State | |
VIII. Authorized Official
Name:
KEITH
THOMPSON
Title or Position: CHIEF LEGAL & DEVELOPMENT OFFICER
Credential:
Phone: 949-432-4622