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NPI Code Detail

MEDICARE: MONARCH LIFEWORKS

MEDICARE: MONARCH LIFEWORKS
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
1251C00000XDevelopmentally Disabled Services Day Training Agency1819198OH
2261QA0600XAdult Day Care Clinic/Center1819198OH
3283X00000XRehabilitation Hospital1819198OH
4343900000XNon-emergency Medical Transport (VAN)1819198OH
5385H00000XRespite Care
6251S00000XCommunity/Behavioral Health Agency1819198OH

Other Identifiers

# Provider Identifier Provider Identifier Type Provider Identifier State Provider Identifier Issuer
1MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program
21819198OTHEROHDEPARTMENT OF DEVELOPMENTAL DISABILITIES

General Provider Information

NPI Number : 1528307055
Entity Type Code : Organization
Provider Name (Legal Business Name) : MONARCH LIFEWORKS
Provider Business Mailing Address
First Line : 3205 FAIRMOUNT BLVD
Second Line :
City : CLEVELAND HEIGHTS
State : OH
Zip : 44118-4211
Country : US
Telephone Number : 216-321-6744
Fax Number :
Provider Business Practice Location Address
First Line : 3205 FAIRMOUNT BLVD
Second Line :
City : SHAKER HEIGHTS
State : OH
Zip : 44118-4211
Country : US
Telephone Number : 216-321-6744
Fax Number :
Authorized Official
Title or Position : PRESIDENT
Name : ADAM G JACOBS
Credential : PH.D.
Telephone Number : 216-932-2800
Provider Enumeration Date : 02/04/2013
Last Update Date : 10/10/2024

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Directions to “MONARCH LIFEWORKS ” Practice Location

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