Bridge Hospice

LBN: Bridge Hospice, Llc
Bridge Hospice is an health care organization with primary practice located at 5090 Shoreham Pl Ste 209 , San Diego CA 92122-5935. The organization recently has only one registered license in Agencies / Hospice Care, Community Based, which is considered as the primary health care specialty. Bridge Hospice, Llc can be contacted via phone (582) 775-2008, or through Mongonia, Jeff via phone (858) 251-4242.

Contact Information

Primary practice address
5090 Shoreham Pl Ste 209 San Diego CA 92122-5935
Fax:
Website:
Authorized official contact:
Name: Mongonia, Jeff

Health care specialties

SpecialtyCodeLicense #State
Agencies / Hospice Care, Community Based 251G00000X

Profile Details

NPI number 1396173597
LBN Legal business name Bridge Hospice, Llc
DBA Doing business as Bridge Hospice
Authorized official Mongonia, Jeff
Entity Organization
Organization subpart 1 No
Enumeration date Oct 24th, 2013
Last updated May 24th, 2023 - about 2 years ago

1 Some organizations, which are providing health care services, may consist of units or departments that provide different types of health care services or have several separate physical locations, where health care service is provided. These units, departments or physical locations are not themselves legal entities. However, each of them is part of the organization, which is a legal entity. The organization may decide whether its subparts, if it has any, should have their own NPI numbers. In case a subpart conducts any HIPAA standard transactions by itself, without its parent's involvement, it must have its own NPI number.

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Identifiers

StateTypeNumberIssuer
All States NPI 1396173597 NPPES
California MEDICAID 75-1568
California Other 4635898332

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