Provider Demographics
NPI:1497818090
Name:MONOLIA'S CARE SEVICES, INC.
Entity Type:Organization
Organization Name:MONOLIA'S CARE SEVICES, INC.
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:AGENCY DIRECTOR
Authorized Official - Prefix:MRS
Authorized Official - First Name:KATHLEEN
Authorized Official - Middle Name:HARRIS
Authorized Official - Last Name:BANKS
Authorized Official - Suffix:
Authorized Official - Credentials:RN
Authorized Official - Phone:336-574-8024
Mailing Address - Street 1:709 E MARKET ST STE 205B
Mailing Address - Street 2:
Mailing Address - City:GREENSBORO
Mailing Address - State:NC
Mailing Address - Zip Code:27401-3281
Mailing Address - Country:US
Mailing Address - Phone:336-574-8024
Mailing Address - Fax:336-574-8025
Practice Address - Street 1:709 E MARKET ST STE 205B
Practice Address - Street 2:
Practice Address - City:GREENSBORO
Practice Address - State:NC
Practice Address - Zip Code:27401-3281
Practice Address - Country:US
Practice Address - Phone:336-574-8024
Practice Address - Fax:336-574-8025
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2006-12-18
Last Update Date:2020-08-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NCHC2886251E00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251E00000XAgenciesHome Health
Provider Identifiers
StateIdentifier IDID TypeIssuer
NC6601242Medicaid
NC3408331Medicaid