Provider Demographics
NPI:1215800974
Name:MONARCH LANE ENTERPRISES LLC
Entity type:Organization
Organization Name:MONARCH LANE ENTERPRISES LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:CEO
Authorized Official - Prefix:
Authorized Official - First Name:MELISSA
Authorized Official - Middle Name:
Authorized Official - Last Name:REILLY
Authorized Official - Suffix:
Authorized Official - Credentials:MS,PT
Authorized Official - Phone:401-742-4168
Mailing Address - Street 1:5258 LAYTON DR
Mailing Address - Street 2:
Mailing Address - City:VENICE
Mailing Address - State:FL
Mailing Address - Zip Code:34293-8821
Mailing Address - Country:US
Mailing Address - Phone:401-752-4178
Mailing Address - Fax:
Practice Address - Street 1:5258 LAYTON DR
Practice Address - Street 2:
Practice Address - City:VENICE
Practice Address - State:FL
Practice Address - Zip Code:34293-8821
Practice Address - Country:US
Practice Address - Phone:401-752-4178
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2025-09-27
Last Update Date:2025-09-27
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251E00000XAgenciesHome Health