| Details | Last Recertification Date | Update | Recertification | 6/4/2024 1:25:18 PM | 5/12/2025 9:04:48 AM | 5/12/2025 9:04 AM |
| Details | Nature of Support: Support Received From Date | Update | Change Request | 10/1/2022 12:00:00 AM | 10/1/2024 12:00:00 AM | 10/4/2024 1:40 PM |
| Details | Nature of Support: Support Received To Date | Update | Change Request | 9/30/2024 12:00:00 AM | 9/30/2026 12:00:00 AM | 10/4/2024 1:40 PM |
| Contacts | Primary Contact | Update | Change Request | Artman, Keithia
Operations Coordinator
Monarch Health Services Inc
5615234589-422 | De Jesus, Fabianka
Outreach & Education Coordinator
Monarch Health Services Inc
5615234589-406 | 8/29/2024 7:39 AM |
| Details | Nature of Support: Support Received From Date | Update | Recertification | 10/1/2020 12:00:00 AM | 10/1/2022 12:00:00 AM | 6/4/2024 1:25 PM |
| Details | Nature of Support: Support Received To Date | Update | Recertification | 10/30/2024 12:00:00 AM | 9/30/2024 12:00:00 AM | 6/4/2024 1:25 PM |
| Details | Last Recertification Date | Update | Recertification | 5/9/2023 4:25:18 PM | 6/4/2024 1:25:18 PM | 6/4/2024 1:25 PM |
| Details | Grant Number | Update | Recertification | NH25PS004342 | NH25PS005131 | 6/4/2024 1:25 PM |
| Details | NOFO Number | Update | Recertification | PS18 - 1802 | PS19 - 1901 | 6/4/2024 1:25 PM |
| Contacts | Primary Contact | Update | Profile Change Request | Artman, Keithia
Operations Manager
Monarch Health Services Inc
5615234589-403 | Artman, Keithia
Operations Coordinator
Monarch Health Services Inc
5615234589-422 | 9/22/2023 3:22 PM |
| Details | Nature of Support: Support Received To Date | Update | Recertification | 9/30/2022 12:00:00 AM | 10/30/2024 12:00:00 AM | 5/9/2023 4:25 PM |
| Details | Last Recertification Date | Update | Recertification | 5/9/2022 2:55:38 PM | 5/9/2023 4:25:18 PM | 5/9/2023 4:25 PM |
| Contacts | Primary Contact | Update | Change Request | Bryan, Keithia
Manager Operations and Clinical Services
Monarch Health Services, Inc
5615234589-403 | Artman, Keithia
Operations Manager
Monarch Health Services Inc
5615234589-403 | 4/26/2023 7:43 AM |
| Details | Last Recertification Date | Update | Recertification | 5/6/2021 9:26:22 AM | 5/9/2022 2:55:38 PM | 5/9/2022 2:55 PM |
| Details | Nature of Support: In Kind Support Description | Update | Recertification | | HIV test kits, supplies, technical support and training, condoms , literature | 5/6/2021 9:26 AM |
| Details | Nature of Support: Support Received From Date | Update | Recertification | | 10/1/2020 12:00:00 AM | 5/6/2021 9:26 AM |
| Details | Nature of Support: Support Received To Date | Update | Recertification | | 9/30/2022 12:00:00 AM | 5/6/2021 9:26 AM |
| Details | Last Recertification Date | Update | Recertification | 5/11/2020 7:46:22 AM | 5/6/2021 9:26:22 AM | 5/6/2021 9:26 AM |
| Details | NOFO Number | Update | Recertification | | PS18 - 1802 | 5/6/2021 9:26 AM |
| Contacts | Primary Contact | Update | | Bryan, Keithia
Manager Operations and Clinical Services
Monarch Health Services, Inc
5615234589 | Bryan, Keithia
Manager Operations and Clinical Services
Monarch Health Services, Inc
5615234589-403 | 10/15/2020 2:23 PM |
| Addresses | Main Address | Update | Change Request |
2580 Metrocentre Blvd
Suite
1
West Plam Beach, FL 33407 |
2580 Metrocentre Blvd
Suite
1
West Palm Beach, FL 33407 | 5/11/2020 1:34 PM |
| Addresses | Main Address | Update | Recertification |
2580 Metrocentre Blvd
3
West Plam Beach, FL 33407 |
2580 Metrocentre Blvd
Suite
1
West Plam Beach, FL 33407 | 5/11/2020 7:46 AM |
| Contacts | Primary Contact | Update | Recertification | Bryan, Keithia
Clinical Services Operation manager
Monarch Health services, Inc
5615234589 | Bryan, Keithia
Manager Operations and Clinical Services
Monarch Health Services, Inc
5615234589 | 5/11/2020 7:46 AM |
| Details | Last Recertification Date | Update | Recertification | 5/18/2019 6:24:11 AM | 5/11/2020 7:46:22 AM | 5/11/2020 7:46 AM |
| Addresses | Billing Address | Update | Change Request | Monarch Health Services, Inc
2580 Metrocentre Blvd
5
West Plam Beach, FL 33407 | Monarch Health Services, Inc
2580 Metrocentre Blvd
3
West Plam Beach, FL 33407 | 1/30/2020 10:01 AM |
| Contacts | Primary Contact | Update | Change Request | Carnegie, Andre
Director
Monarch Health services, Inc
5615234589 | Bryan, Keithia
Clinical Services Operation manager
Monarch Health services, Inc
5615234589 | 1/30/2020 10:01 AM |
| Details | Last Recertification Date | Update | Recertification | | 5/18/2019 6:24:11 AM | 5/18/2019 6:24 AM |
| Contacts | Primary Contact | Update | Change Request | Carnegie, Andre
Director
Monarch Health Services, inc
5615234589 | Carnegie, Andre
Director
Monarch Health services, Inc
5615234589 | 4/29/2019 12:54 PM |
| Contacts | Authorizing Official | Update | Change Request | Baker, Damion
CEO
Monarch Health Services, inc
5613742984 | Baker, Damion
CEO
Monarch Health Services, Inc
5613742984 | 4/5/2019 8:35 AM |
| Details | State | Update | | Approved | Active | 4/1/2019 12:05 AM |
| Contacts | Signed By | Insert | New Registration | | Baker, Damion
CEO
Monarch Health Services, inc
5613742984 | 2/15/2019 9:01 AM |
| Details | 340B ID | Update | New Registration | | STD334073 | 2/15/2019 9:01 AM |
| Dates | Participating Approval Date | Update | New Registration | | 2/15/2019 9:01:33 AM | 2/15/2019 9:01 AM |
| Details | State | Update | New Registration | Pending | Approved | 2/15/2019 9:01 AM |
| Dates | Signed By Date | Update | New Registration | | 1/14/2019 5:24:09 PM | 2/15/2019 9:01 AM |
| Dates | Start Date | Update | New Registration | | 4/1/2019 12:00:00 AM | 2/15/2019 9:01 AM |
| Contacts | Primary Contact | Insert | New Registration | | Carnegie, Andre
Director
Monarch Health Services, inc
5615234589 | 1/14/2019 5:24 PM |
| Addresses | Main Address | Insert | New Registration | |
2580 Metrocentre Blvd
3
West Plam Beach, FL 33407 | 1/14/2019 5:24 PM |
| Addresses | Billing Address | Insert | New Registration | | Monarch Health Services, Inc
2580 Metrocentre Blvd
5
West Plam Beach, FL 33407 | 1/14/2019 5:24 PM |
| Details | Nature Of Support | Insert | New Registration | | In-Kind products or services (see note below; must have been purchased with section 318 funds) | 1/14/2019 5:24 PM |
| Contacts | Authorizing Official | Insert | New Registration | | Baker, Damion
CEO
Monarch Health Services, inc
5613742984 | 1/14/2019 5:24 PM |
| Details | Last Recertification Date | Insert | New Registration | | | 1/14/2019 5:24 PM |
| Details | Grant Number | Insert | New Registration | | NH25PS004342 | 1/14/2019 5:24 PM |
| Details | 340B ID | Insert | New Registration | | | 1/14/2019 5:24 PM |
| Details | Is Authorizing Official EHB Data | Insert | New Registration | | | 1/14/2019 5:24 PM |
| Dates | Last Date That 340B Drugs Purchased | Insert | New Registration | | | 1/14/2019 5:24 PM |
| Details | Medicare Provider Number | Insert | New Registration | | | 1/14/2019 5:24 PM |
| Details | Entity Name | Insert | New Registration | | Monarch Health Services, Inc. | 1/14/2019 5:24 PM |
| Details | Program Code | Insert | New Registration | | STD | 1/14/2019 5:24 PM |
| Details | Entity Subname | Insert | New Registration | | | 1/14/2019 5:24 PM |
| Dates | Participating Approval Date | Insert | New Registration | | | 1/14/2019 5:24 PM |
| Details | State | Insert | New Registration | | Pending | 1/14/2019 5:24 PM |
| Dates | Registration Date | Insert | New Registration | | 1/14/2019 5:24:06 PM | 1/14/2019 5:24 PM |
| Dates | Signed By Date | Insert | New Registration | | | 1/14/2019 5:24 PM |
| Dates | Start Date | Insert | New Registration | | | 1/14/2019 5:24 PM |
| Terminations | Termination Comments | Insert | New Registration | | | 1/14/2019 5:24 PM |
| Terminations | Termination Date | Insert | New Registration | | | 1/14/2019 5:24 PM |
| Terminations | Termination Effective Date | Insert | New Registration | | | 1/14/2019 5:24 PM |
| Terminations | Termination Reason | Insert | New Registration | | | 1/14/2019 5:24 PM |