Is this information incorrect? This page shows public data from NPPES. Update your record in NPPES and this page will update automatically within 7 days.
Organization
MONARCH LIFEWORKS
Active
Organization
MONARCH LIFEWORKS
Active
Parent organization
BELLEFAIRE JCB
Other names
Monarch Lifeworks - Viridis
Organization subpart
Yes
Provider details
NPI number
Legal business name
BELLEFAIRE JCB
Authorized official
LEIGH JOHNSON (GENERAL COUNSEL)
(216) 320-8222
Entity
Organization
Contact information
Practice address
2675 GREEN RD, SHAKER HEIGHTS, OH 44122-2135
(216) 765-0601
(216) 765-0611
Mailing address
2675 GREEN RD, SHAKER HEIGHTS, OH 44122-2135
(216) 765-0601
(216) 765-0611
Taxonomy
Speciality
Code
Description
License number
State
251S00000X
Community/Behavioral Health Agency
32471
OH
315P00000X
Intellectual Disabilities Intermediate Care Facility
Primary
—
—
320600000X
Intellectual and/or Developmental Disabilities Residential Treatment Facility
32471
OH
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
0078929
—
OH
01
—
1815782
OHIO DEPARTMENT OF DEVELOPMENTAL DISABILITIES FACILITY NUMBER
OH
01
—
32471
OHIO DEPARTMENT OF DEVELOPMENTAL DISABILITIES CERTIFICATE NUMBER
OH
Enumeration date
01/09/2017
Last updated
06/18/2019
About Stedi
Stedi is the only programmable healthcare clearinghouse. You can use Stedi's APIs to process eligibility checks, claims, remits, and more.
Sign up