BRIDGE HOSPICE EAST BAY LLC NPI 1700376951

NPI Information

NPI: 1700376951
Provider Name: BRIDGE HOSPICE EAST BAY LLC

Doing Business As: BRIDGE HOSPICE

Classification: Hospice Care, Community Based - 251G00000X
Entity Type: Organization

Address:
3021 CITRUS CIR STE 230
WALNUT CREEK, CA
ZIP 94598
Phone: (925) 215-7744
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BRIDGE HOSPICE EAST BAY LLC is a hospice care community based in Walnut Creek, CA. BRIDGE HOSPICE EAST BAY LLC NPI is 1700376951. The provider is registered as an organization entity type.
The provider Is Doing Business As Bridge Hospice.

The provider's business location address is:

3021 CITRUS CIR STE 230
WALNUT CREEK, CA
ZIP 94598-691
Phone: (925) 215-7744

The provider's authorized official is Jeff Mongonia .
The authorized official title is Ceo and has the following contact phone number (858) 251-4242.

The CLIA number assigned to this NPI record is 05D2162750 - hospice with a certificate type of Certificate of Waiver.

The enumeration date for this NPI number is 5/14/2018 and was last updated on 5/24/2023.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No.	Taxonomy Code	Taxonomy Clasification	Taxonomy Specialization	License Number	License State	Primary
1	251G00000X	Hospice Care, Community Based				Yes

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 4/28/2024

NPI Synchronization or Removal

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