Provider Demographics
NPI:1295826436
Name:MONARCH HEALTHCARE, INC.
Entity Type:Organization
Organization Name:MONARCH HEALTHCARE, INC.
Other - Org Name:MONARCH HOME HEALTHCARE AGENCY
Other - Org Type:Doing Business As
Authorized Official - Title/Position:ADMINISTRATOR/CFO
Authorized Official - Prefix:MR
Authorized Official - First Name:ANTHONY
Authorized Official - Middle Name:
Authorized Official - Last Name:NJUGOH
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:972-629-6158
Mailing Address - Street 1:9304 FOREST LN
Mailing Address - Street 2:SUITE 250N
Mailing Address - City:DALLAS
Mailing Address - State:TX
Mailing Address - Zip Code:75243-6238
Mailing Address - Country:US
Mailing Address - Phone:972-629-6158
Mailing Address - Fax:972-629-6246
Practice Address - Street 1:9304 FOREST LN
Practice Address - Street 2:SUITE 250N
Practice Address - City:DALLAS
Practice Address - State:TX
Practice Address - Zip Code:75243-6238
Practice Address - Country:US
Practice Address - Phone:972-629-6158
Practice Address - Fax:972-629-6246
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2006-09-27
Last Update Date:2011-04-05
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TX010143251E00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251E00000XAgenciesHome Health
Provider Identifiers
StateIdentifier IDID TypeIssuer
TX182807101Medicaid
TX182807101Medicaid
TX679591Medicare Oscar/Certification