Bridge Hospice High Desert LLC

Primary specialty

Community Based Hospice Care AgencyTaxonomy code 251G00000X

Legal business name

BRIDGE HOSPICE HIGH DESERT LLC

Doing business as

Bridge Hospice

Practice address

3636 Nobel Dr Ste 450
San Diego, CA 92122-1062

Phone

(858) 251-4242

NPI assigned

Feb 14, 2020

Organization subpart

No

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

Authorized official

Name

Michael Suor

Title

Ceo

Phone

(858) 251-4242

Specialties & licenses 1

Addresses

Other names 1

• Bridge Hospice Doing business as

Locations

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

{
    "created_epoch": "1581638400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1581638400000",
    "number": "1114550522",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3636 NOBEL DR STE 450",
            "city": "SAN DIEGO",
            "state": "CA",
            "postal_code": "921221062",
            "telephone_number": "858-251-4242"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3636 NOBEL DR STE 450",
            "city": "SAN DIEGO",
            "state": "CA",
            "postal_code": "921221062",
            "telephone_number": "858-251-4242"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "BRIDGE HOSPICE HIGH DESERT LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2020-02-14",
        "last_updated": "2020-02-14",
        "certification_date": "2020-02-14",
        "status": "A",
        "authorized_official_last_name": "SUOR",
        "authorized_official_first_name": "MICHAEL",
        "authorized_official_title_or_position": "CEO",
        "authorized_official_telephone_number": "858-251-4242"
    },
    "taxonomies": [
        {
            "code": "251G00000X",
            "taxonomy_group": "",
            "desc": "Hospice Care, Community Based",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Bridge Hospice",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Jorge Alejandro Briceno
• Dominic Brichetto
• Ian David Brickl, MD
• Bridge Chiropractic Nathan Beyerl Corporation
• Bridge Home Health High Desert LLC (Bridge Home Health)
• Bridge Hospice, LLC (Bridge Hospice)
• Bridge Physician Network San Diego PC (Bridge Physician Network)
• Bridge to Recovery
• Stephen S Bridge, MD
• Maria Bridgeford

• Community Based Hospice Care Agency in San Diego, CA
• Providers in San Diego, 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 Feb 14, 2020; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.