MEDICARE: MONARCH FAMILY HEALTH SERVICES

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	251E00000X	Home Health Agency

General Provider Information

NPI Number	:	1770086100
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	MONARCH FAMILY HEALTH SERVICES

Provider Business Mailing Address
First Line	:	2011 CROMWELL CT
Second Line	:
City	:	SUGAR LAND
State	:	TX
Zip	:	77498-6312
Country	:	US
Telephone Number	:
Fax Number	:

Provider Business Practice Location Address
First Line	:	2011 CROMWELL CT
Second Line	:
City	:	SUGAR LAND
State	:	TX
Zip	:	77498-6312
Country	:	US
Telephone Number	:	919-740-8536
Fax Number	:

Authorized Official
Title or Position	:	ADMINISTRATOR
Name	:	MS. KIERA S MOORE
Credential	:
Telephone Number	:	919-740-8536

Provider Enumeration Date	:	03/12/2018
Last Update Date	:	03/12/2018

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