NPI Code Detail JSON Logo

1114430469 NPI number — MONROE CAPITAL HOLDINGS LLC

NPI Number: 1114430469
Health Care Provider/Practitioner: MONROE CAPITAL HOLDINGS LLC

Information about “1114430469” NPI (MONROE CAPITAL HOLDINGS LLC) exists in 1114430469 in HTML format HTML  |  1114430469 in plain Text format TXT  |  1114430469 in PDF (Portable Document Format) PDF  |  1114430469 in an XML format XML  formats.

NPI Number : 1114430469 – JSON Data Format

                
{
  "Npi": {
    "NPI": "1114430469",
    "EntityType": "Organization",
    "ReplacementNPI": null,
    "EIN": null,
    "IsSoleProprietor": null,
    "IsOrgSubpart": "Y",
    "ParentOrgLBN": "MONROE OPERATIONS LLC",
    "ParentOrgTIN": null,
    "OrgName": "MONROE CAPITAL HOLDINGS LLC",
    "LastName": null,
    "FirstName": null,
    "MiddleName": null,
    "NamePrefix": null,
    "NameSuffix": null,
    "Credential": null,
    "OtherOrgName": null,
    "OtherOrgNameTypeCode": "6",
    "OtherLastName": null,
    "OtherFirstName": null,
    "OtherMiddleName": null,
    "OtherNamePrefix": null,
    "OtherNameSuffix": null,
    "OtherCredential": null,
    "OtherLastNameTypeCode": null,
    "FirstLineMailingAddress": "L-3969",
    "SecondLineMailingAddress": null,
    "MailingAddressCityName": "COLUMBUS",
    "MailingAddressStateName": "OH",
    "MailingAddressPostalCode": "43260-3969",
    "MailingAddressCountryCode": "US",
    "MailingAddressTelephoneNumber": "714-202-5166",
    "MailingAddressFaxNumber": "866-273-8095",
    "FirstLinePracticeLocationAddress": "10 SIGNAL RD",
    "SecondLinePracticeLocationAddress": null,
    "PracticeLocationAddressCityName": "STAMFORD",
    "PracticeLocationAddressStateName": "CT",
    "PracticeLocationAddressPostalCode": "06902-7909",
    "PracticeLocationAddressCountryCode": "US",
    "PracticeLocationAddressTelephoneNumber": "833-531-3496",
    "PracticeLocationAddressFaxNumber": "866-273-8095",
    "EnumerationDate": "11/08/2017",
    "LastUpdateDate": "09/13/2025",
    "NPIDeactivationReasonCode": null,
    "NPIDeactivationReason": null,
    "NPIDeactivationDate": null,
    "NPIReactivationDate": null,
    "GenderCode": null,
    "Gender": null,
    "AuthorizedOfficialLastName": "THOMPSON",
    "AuthorizedOfficialFirstName": "KEITH",
    "AuthorizedOfficialMiddleName": null,
    "AuthorizedOfficialTitle": "CHIEF LEGAL AND DEVELOPMENT OFFICER",
    "AuthorizedOfficialNamePrefix": null,
    "AuthorizedOfficialNameSuffix": null,
    "AuthorizedOfficialCredential": null,
    "AuthorizedOfficialTelephoneNumber": "949-432-4622",
    "Taxonomies": {
      "Taxonomy": [
        {
          "TaxonomyCode": "261QM0850X",
          "TaxonomyName": "Adult Mental Health Clinic/Center",
          "LicenseNumber": "0607",
          "LicenseNumberStateCode": "CT",
          "PrimaryTaxonomySwitch": "N"
        },
        {
          "TaxonomyCode": "261QM0801X",
          "TaxonomyName": "Mental Health Clinic/Center (Including Community Mental Health Center)",
          "LicenseNumber": "0062",
          "LicenseNumberStateCode": "CT",
          "PrimaryTaxonomySwitch": "N"
        },
        {
          "TaxonomyCode": "261QR0405X",
          "TaxonomyName": "Substance Use Disorder Rehabilitation Clinic/Center",
          "LicenseNumber": "0503",
          "LicenseNumberStateCode": "CT",
          "PrimaryTaxonomySwitch": "N"
        },
        {
          "TaxonomyCode": "261QM0855X",
          "TaxonomyName": "Adolescent and Children Mental Health Clinic/Center",
          "LicenseNumber": null,
          "LicenseNumberStateCode": null,
          "PrimaryTaxonomySwitch": "Y"
        }
      ]
    },
    "HealthcareProviderTaxonomyGroups": null
  }
}
                
            

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