NPIMap

Organization Active NPI

Blue Monarch Hospice LLC

  • Community Based Hospice Care Agency
  • San Diego, CA
National Provider Identifier
1013534619
Registry record updated Jul 23, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Community Based Hospice Care AgencyTaxonomy code 251G00000X
Legal business name
BLUE MONARCH HOSPICE LLC
Practice address
7220 Trade St Ste 245
San Diego, CA 92121-2324
Phone
(858) 327-3033
Fax
(858) 327-3998
NPI assigned
Jun 29, 2020
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jul 23, 2025

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name
Mr. Raphael Akobundu, NPNPI 1659860195
Title
Ceo
Phone
(858) 327-3033

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Community Based Hospice Care Agency 251G00000X Primary

Addresses

Primary practice location

7220 Trade St Ste 245
San Diego, CA 92121-2324

Mailing address

7220 Trade St Ste 245
San Diego, CA 92121-2324
Phone (858) 327-3033

Other names 1

  • Blue Monarch Hospice Doing business as

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in CA

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20200821000593 CA Part A Provider - Hospice 9537585534 Practice locations: Escondido, CA

Hospice certification: CCN B21621

Legal name
BLUE MONARCH HOSPICE LLC
Certification status
Active
Provider type (POS)
Hospice
Participating since
Jul 2, 2021
Last certification
Jul 2, 2021
Ownership / control type
Other
Organization structure
LLCProprietary
Enrollment address
350 W 9TH Ave
Ste 204
Escondido, CA 92025-5053

Care Compare: Hospice

Medicare Care Compare
Listed as
Blue Monarch HospiceCCN B21621
Ownership
Other
Certified
Jul 2, 2021
Medicare certification status
ActiveFrom the Provider of Services file

National Provider Directory

National Provider Directory

Locations

350 W 9th Ave
Ste 204
Escondido, CA 92025
Phone (619) 780-4332

7220 Trade St
Ste 245
San Diego, CA 92121
Phone (858) 327-3033

Ownership & related parties

All disclosed owners & managing parties 2

As disclosed on the Medicare enrollment (CMS All Owners files). Individuals include officers, directors and managing employees, who may not hold ownership.

NameRoleSinceShare
Raphael Akobundu Individual 5% Or Greater Direct Ownership InterestCeo and Owner Dec 6, 2021 100%
Corporate Officer Dec 6, 2021
Britt Tarnowski Individual W-2 Managing Employee Mar 1, 2022

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

Affiliated clinicians 1

Clinicians who list this facility as an affiliation in Medicare Care Compare.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1593388800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1753228800000",
    "number": "1013534619",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "7220 TRADE ST STE 245",
            "city": "SAN DIEGO",
            "state": "CA",
            "postal_code": "921212324",
            "telephone_number": "858-327-3033",
            "fax_number": "858-327-3998"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "7220 TRADE ST STE 245",
            "city": "SAN DIEGO",
            "state": "CA",
            "postal_code": "921212324",
            "telephone_number": "858-327-3033",
            "fax_number": "858-327-3998"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "BLUE MONARCH HOSPICE LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2020-06-29",
        "last_updated": "2025-07-23",
        "certification_date": "2022-03-16",
        "status": "A",
        "authorized_official_last_name": "AKOBUNDU",
        "authorized_official_first_name": "RAPHAEL",
        "authorized_official_title_or_position": "CEO",
        "authorized_official_telephone_number": "858-327-3033",
        "authorized_official_name_prefix": "Mr.",
        "authorized_official_credential": "NP"
    },
    "taxonomies": [
        {
            "code": "251G00000X",
            "taxonomy_group": "",
            "desc": "Hospice Care, Community Based",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Blue Monarch Hospice",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in San Diego, CA

Sources for this page

Verify at the official NPI Registry.