Healthcare Provider Details

I. General information

NPI: 1508195959
Provider Name (Legal Business Name): MONROE OPERATIONS, LLC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 12/14/2009
Last Update Date: 10/14/2025
Certification Date: 10/14/2025
Deactivation Date:
Reactivation Date:

III. Provider practice location address

64 DOUBLE HILL RD
BETHLEHEM CT
06751-1101
US

IV. Provider business mailing address

L-3969
COLUMBUS OH
43260-3969
US

V. Phone/Fax

Practice location:
  • Phone: 714-310-8461
  • Fax: 844-721-8190
Mailing address:
  • Phone: 714-202-5166
  • Fax: 844-721-8190

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code3245S0500X
TaxonomyChildren's Substance Abuse Rehabilitation Facility
License Number
License Number State
# 2
Primary TaxonomyY
Taxonomy Code323P00000X
TaxonomyPsychiatric Residential Treatment Facility
License NumberCCF-155
License Number StateCT

VIII. Authorized Official

Name: KEITH THOMPSON
Title or Position: CHIEF LEGAL & DEVELOPMENT OFFICER
Credential:
Phone: 949-432-4622