Provider Demographics
NPI:1730406745
Name:MONARCH HOSPICE, INC.
Entity type:Organization
Organization Name:MONARCH HOSPICE, INC.
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PRESIDENT
Authorized Official - Prefix:MR
Authorized Official - First Name:PATRICK
Authorized Official - Middle Name:ROJAS
Authorized Official - Last Name:AFAN
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:562-881-1091
Mailing Address - Street 1:19615 NICHOLAS AVE
Mailing Address - Street 2:
Mailing Address - City:CERRITOS
Mailing Address - State:CA
Mailing Address - Zip Code:90703-7432
Mailing Address - Country:US
Mailing Address - Phone:562-881-1091
Mailing Address - Fax:562-989-1469
Practice Address - Street 1:19615 NICHOLAS AVE
Practice Address - Street 2:
Practice Address - City:CERRITOS
Practice Address - State:CA
Practice Address - Zip Code:90703-7432
Practice Address - Country:US
Practice Address - Phone:562-881-1091
Practice Address - Fax:562-989-1469
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2010-04-29
Last Update Date:2010-04-29
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CAAPPLIED251G00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251G00000XAgenciesHospice Care, Community Based
Provider Identifiers
StateIdentifier IDID TypeIssuer
CAAPPLIEDMedicare Oscar/Certification