Healthcare Provider Details

I. General information

NPI: 1942898101
Provider Name (Legal Business Name): MONARCH PERSONAL CARE INC.
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 01/04/2021
Last Update Date: 01/04/2021
Certification Date: 01/04/2021
Deactivation Date:
Reactivation Date:

III. Provider practice location address

4620 WILLIAMSBURG STA STE C
FLOYDS KNOBS IN
47119-9670
US

IV. Provider business mailing address

4620 WILLIAMSBURG STA STE C
FLOYDS KNOBS IN
47119-9670
US

V. Phone/Fax

Practice location:
  • Phone: 812-924-9100
  • Fax: 812-924-9010
Mailing address:
  • Phone: 812-924-9100
  • Fax: 812-924-9010

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code253Z00000X
TaxonomyIn Home Supportive Care Agency
License Number
License Number State

VII. Legacy identifiers

For crosswalk purposes, the following legacy (non-NPI) identifiers are available for this provider:

VIII. Authorized Official

Name: MRS. JOANNE ELIZABETH COOPER-AMY
Title or Position: ADMINISTARATOR
Credential: RN
Phone: 812-924-9100