Provider Demographics
NPI:1942790241
Name:MONROE OPERATIONS, LLC
Entity Type:Organization
Organization Name:MONROE OPERATIONS, LLC
Other - Org Name:NEWPORT ACADEMY-REDWOOD
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:714-202-5166
Mailing Address - Fax:844-721-8190
Practice Address - Street 1:16 MEADOW VIEW LANE
Practice Address - Street 2:
Practice Address - City:SAN GERONIMO
Practice Address - State:CA
Practice Address - Zip Code:94963
Practice Address - Country:US
Practice Address - Phone:714-310-8461
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:Yes
Parent Organization LBN:MONROE CAPITAL HOLDINGS LLC
Parent Organization TIN:<UNAVAIL>
Enumeration Date:2018-05-14
Last Update Date:2022-10-17
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CA323P00000X, 3245S0500X
3245S0500X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes323P00000XResidential Treatment FacilitiesPsychiatric Residential Treatment Facility
No3245S0500XResidential Treatment FacilitiesSubstance Abuse Rehabilitation FacilitySubstance Abuse Treatment, Children