Organization · Type 2 NPI

Monarch Lifeworks

Intellectual Disabilities Intermediate Care Facility · Shaker Heights, OH

NPI number 1871950709 Active

Practice location

21450 Fairmount Blvd
Shaker Heights, OH 44118-4808

Fax (216) 932-6704

Specialties and licenses

Taxonomy	Code	License
Community/Behavioral Health Agency	251S00000X	31712 (OH)
Intellectual Disabilities Intermediate Care Facility Primary	315P00000X	None listed
Intellectual and/or Developmental Disabilities Residential Treatment Facility	320600000X	31712 (OH)

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

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NPI record

NPI: 1871950709
Entity type: Organization (Type 2)
Issued: Jan 22, 2016
Last updated: Jun 18, 2019
Status: Active
Subpart: Yes of Bellefaire JCB

Other names

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Monarch Lifeworks - Xanthos · other name
Monarch Lifeworks - Xanthos · other name

Authorized official

Adam G Jacobs, PhD
President
(216) 932-2800

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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 1871950709

Monarch Lifeworks's National Provider Identifier is 1871950709, issued on Jan 22, 2016. 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.