Provider Demographics
NPI:1760995260
Name:MONROE OPERATIONS, LLC
Entity Type:Organization
Organization Name:MONROE OPERATIONS, LLC
Other - Org Name:NEWPORT ACADEMY-COSTA MESA
Other - Org Type:Doing Business As
Authorized Official - Title/Position:CEO
Authorized Official - Prefix:
Authorized Official - First Name:JOSEPH
Authorized Official - Middle Name:A
Authorized Official - Last Name:PROCOPIO
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:949-432-4622
Mailing Address - Street 1:L-3969
Mailing Address - Street 2:
Mailing Address - City:COLUMBUS
Mailing Address - State:OH
Mailing Address - Zip Code:43260-3969
Mailing Address - Country:US
Mailing Address - Phone:
Mailing Address - Fax:
Practice Address - Street 1:3189 PULLMAN ST STE 150
Practice Address - Street 2:
Practice Address - City:COSTA MESA
Practice Address - State:CA
Practice Address - Zip Code:92626-3320
Practice Address - Country:US
Practice Address - Phone:949-205-5997
Practice Address - Fax:615-694-5202
EIN:<UNAVAIL>
Is Organization Subpart?:Yes
Parent Organization LBN:MONROE CAPITAL HOLDINGS LLC
Parent Organization TIN:<UNAVAIL>
Enumeration Date:2017-11-07
Last Update Date:2022-10-16
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CA300233DP261QM0855X, 261QR0405X, 323P00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes323P00000XResidential Treatment FacilitiesPsychiatric Residential Treatment Facility
Yes261QM0855XAmbulatory Health Care FacilitiesClinic/CenterAdolescent and Children Mental Health
No261QR0405XAmbulatory Health Care FacilitiesClinic/CenterRehabilitation, Substance Use Disorder
Provider Identifiers
StateIdentifier IDID TypeIssuer
CA300233DPOtherDAY TREATMENT & OUTPATIENT - ALCOHOL AND/OR OTHER DRUG SERVICES