Edgewood Street
LBN: Monarch
Edgewood Street is an health care organization with primary practice located at 2304 Edgewood Dr , Albemarle NC 28001-5418. The organization recently has 3 registered licenses in different health care specialties including Agencies / Community/Behavioral Health, Nursing & Custodial Care Facilities / Assisted Living Facility, Residential Treatment Facilities / Residential Treatment Facility, Mental Retardation and/or Developmental Disabilities. Residential Treatment Facilities / Residential Treatment Facility, Mental Retardation and/or Developmental Disabilities is the primary health care specialty.
Monarch can be contacted via phone (704) 983-5523, or through Jones, Cindy via phone (704) 986-1522.
Contact Information
Primary practice address
2304 Edgewood Dr
Albemarle NC 28001-5418
Phone: (704) 983-5523
Fax: (704) 983-5523
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Agencies / Community/Behavioral Health | 251S00000X | ||
| Nursing & Custodial Care Facilities / Assisted Living Facility | 310400000X | ||
| Residential Treatment Facilities / Residential Treatment Facility, Mental Retardation and/or Developmental Disabilities | 320600000X |
Profile Details
| NPI number | 1154558955 |
|---|---|
| LBN Legal business name | Monarch |
| DBA Doing business as | Edgewood Street |
| Authorized official | Jones, Cindy |
| Entity | Organization |
| Organization subpart 1 | No |
| Enumeration date | Jun 18th, 2009 |
| Last updated | Dec 1st, 2009 - about 15 years ago |
1 Some organizations, which are providing health care services, may consist of units or departments that provide different types of health care services or have several separate physical locations, where health care service is provided. These units, departments or physical locations are not themselves legal entities. However, each of them is part of the organization, which is a legal entity. The organization may decide whether its subparts, if it has any, should have their own NPI numbers. In case a subpart conducts any HIPAA standard transactions by itself, without its parent's involvement, it must have its own NPI number.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1154558955 | NPPES |
| North Carolina | MEDICAID | 7805485 |
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