Monarch Hospice Care, Inc.

Primary specialty

Community Based Hospice Care AgencyTaxonomy code 251G00000X

Legal business name

MONARCH HOSPICE CARE, INC.

Practice address

19608 Camino de Rosa Ste 201
Walnut, CA 91789-2103

Phone

(626) 318-2381

Fax

(909) 595-1211

NPI assigned

Jan 11, 2014

Organization subpart

No

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

Authorized official

Name

Ms. Deanna May San Diego, RN

Title

President

Phone

(626) 318-2381

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in CA

Enrollment records 1

Hospice certification: CCN 921575

Legal name

MONARCH HOSPICE CARE, INC.

Certification status

Active

Provider type (POS)

Hospice

Participating since

Aug 26, 2016

Last certification

May 9, 2022

Ownership / control type

Proprietary - Corporation

Organization structure

CorporationProprietary

Enrollment address

19608 Camino de Rosa
Ste 201
Walnut, CA 91789-2103

Listed as

Monarch Hospice Care, IncCCN 921575 · All quality measures

Ownership

For-Profit

Certified

Aug 26, 2016

Medicare certification status

ActiveFrom the Provider of Services file

These CMS records do not include an NPI. They are shown because their name and street address match this provider’s.

CLIA laboratory certificates

Locations

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.

Owners & managing parties with NPI records 1

Owners and managing parties disclosed on this facility’s Medicare enrollment that are themselves Medicare-enrolled.

• Tarcisio Calibo Diaz, MD

  • Endocrinology, Diabetes & Metabolism Physician
  • Corona, CA
  • NPI 1346379583

  Contracted Managing Employee

  CMS ownership

Practitioners 1

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

• Desiree Fajayan Bradford, MOTR

  • Occupational Therapist
  • Riverside, CA
  • NPI 1184841769
  NPD

Affiliated clinicians 2

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

• Naveen Kumar Dhiman, M.D.

  • Family Medicine Physician
  • Pacoima, CA
  • NPI 1366696395

  Hospice

  Care Compare affiliation
• Tarcisio Calibo Diaz, MD

  • Endocrinology, Diabetes & Metabolism Physician
  • Corona, CA
  • NPI 1346379583

  Hospice

  Care Compare affiliation

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

{
    "created_epoch": "1389398400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1389398400000",
    "number": "1205258126",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "19608 CAMINO DE ROSA STE 201",
            "city": "WALNUT",
            "state": "CA",
            "postal_code": "917892103",
            "telephone_number": "626-318-2381",
            "fax_number": "909-595-1211"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "19608 CAMINO DE ROSA STE 201",
            "city": "WALNUT",
            "state": "CA",
            "postal_code": "917892103",
            "telephone_number": "626-318-2381",
            "fax_number": "909-595-1211"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MONARCH HOSPICE CARE, INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2014-01-11",
        "last_updated": "2014-01-11",
        "status": "A",
        "authorized_official_last_name": "SAN DIEGO",
        "authorized_official_first_name": "DEANNA",
        "authorized_official_middle_name": "MAY",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "626-318-2381",
        "authorized_official_name_prefix": "Ms.",
        "authorized_official_credential": "RN"
    },
    "taxonomies": [
        {
            "code": "251G00000X",
            "taxonomy_group": "",
            "desc": "Hospice Care, Community Based",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• Community Based Hospice Care Agency in Walnut, CA
• Providers in Walnut, CA by specialty
• Community Based Hospice Care Agency in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 11, 2014; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; facility enrollments, owners and changes of ownership; Provider of Services certification data.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.