Monarch Lifeworks - Xanthos

LBN: Monarch Lifeworks
Monarch Lifeworks - Xanthos is an health care organization with primary practice located at 21450 Fairmount Blvd , Shaker Heights OH 44118-4808. The organization recently has 3 registered licenses in different health care specialties including Agencies / Community/Behavioral Health, Nursing & Custodial Care Facilities / Intermediate Care Facility, Mentally Retarded, Residential Treatment Facilities / Residential Treatment Facility, Mental Retardation and/or Developmental Disabilities. Nursing & Custodial Care Facilities / Intermediate Care Facility, Mentally Retarded is the primary health care specialty. Monarch Lifeworks can be contacted via phone (216) 371-5051, or through Jacobs, Adam G via phone (216) 932-2800.

Contact Information

Primary practice address
21450 Fairmount Blvd Shaker Heights OH 44118-4808
Phone: (216) 371-5051
Fax: (216) 932-6704
Website:
Map and Directions
Authorized official contact:
Name: Jacobs, Adam G PH.D.
Phone: (216) 932-2800

Health care specialties

SpecialtyCodeLicense #State
Agencies / Community/Behavioral Health 251S00000X 31712 Ohio
Nursing & Custodial Care Facilities / Intermediate Care Facility, Mentally Retarded 315P00000X
Residential Treatment Facilities / Residential Treatment Facility, Mental Retardation and/or Developmental Disabilities 320600000X 31712 Ohio

Profile Details

NPI number 1871950709
LBN Legal business name Monarch Lifeworks
DBA Doing business as Monarch Lifeworks - Xanthos
Authorized official Jacobs, Adam G PH.D.
Entity Organization
Organization subpart 1 Yes
Enumeration date Jan 22nd, 2016
Last updated Jun 18th, 2019 - about 5 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.

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Identifiers

StateTypeNumberIssuer
All States NPI 1871950709 NPPES
Ohio Other 31712 OHIO DEPARTMENT OF DEVELOPMENTAL DISABILITIES CERTIFICATE NUMBER
Ohio MEDICAID 0078929 OHIO DEPARTMENT OF DEVELOPMENTAL DISABILITIES CERTIFICATE NUMBER
Ohio Other 1815525 OHIO DEPARTMENT OF DEVELOPMENTAL DISABILITIES CERTIFICATE NUMBER

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