MEDICARE: MONROE CARE, LLC

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	310400000X	Assisted Living Facility

General Provider Information

NPI Number	:	1043024375
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	MONROE CARE, LLC

Provider Business Mailing Address
First Line	:	7250 BEVERLY BLVD STE 101
Second Line	:
City	:	LOS ANGELES
State	:	CA
Zip	:	90036-2560
Country	:	US
Telephone Number	:
Fax Number	:

Provider Business Practice Location Address
First Line	:	1405 S MONROE ST
Second Line	:
City	:	MOSES LAKE
State	:	WA
Zip	:	98837-4628
Country	:	US
Telephone Number	:	509-765-2200
Fax Number	:

Authorized Official
Title or Position	:	MANAGER
Name	:	RAPHAEL OSCHEROWITZ
Credential	:
Telephone Number	:	818-919-0395

Provider Enumeration Date	:	02/06/2025
Last Update Date	:	02/06/2025

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