Organization · Type 2 NPI

Monarch Lifeworks

Intellectual Disabilities Intermediate Care Facility · Shaker Heights, OH

NPI number 1366988800 Active

Practice location

2675 Green Rd
Shaker Heights, OH 44122-2135

Fax (216) 765-0611

Specialties and licenses

Taxonomy	Code	License
Community/Behavioral Health Agency	251S00000X	32471 (OH)
Intellectual Disabilities Intermediate Care Facility Primary	315P00000X	None listed
Intellectual and/or Developmental Disabilities Residential Treatment Facility	320600000X	32471 (OH)

Intellectual Disabilities Intermediate Care Facility: An intermediate care facility providing services for individuals with intellectual disabilities.

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NPI record

NPI: 1366988800
Entity type: Organization (Type 2)
Issued: Jan 9, 2017
Last updated: Jun 18, 2019
Status: Active
Subpart: Yes of Bellefaire JCB

Other names

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Monarch Lifeworks - Viridis · other name
Monarch Lifeworks - Viridis · other name

Authorized official

Leigh Johnson
General Counsel
(216) 320-8222

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This page mirrors the public NPPES file. For credentialing or billing, confirm it on the official CMS NPI Registry, and check the license with the state board.

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About NPI 1366988800

Monarch Lifeworks's National Provider Identifier is 1366988800, issued on Jan 9, 2017. The primary taxonomy on file is Intellectual Disabilities Intermediate Care Facility (315P00000X), and the practice location is in Shaker Heights, OH. The record was last updated on Jun 18, 2019.