Active NPI
Bridgeway Hospice Inc
- Community Based Hospice Care Agency
- West Covina, CA
National Provider Identifier
1124581798
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Community Based Hospice Care Agency
- Legal business name
- BRIDGEWAY HOSPICE INC
- Practice address
- 100 N Barranca St Ste 470
West Covina, CA 91791-1637 - Phone
- (909) 297-5406
- NPI assigned
- Apr 10, 2019
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Rhanie Salonga Santiago
- Title
- Ceo / President
- Phone
- (909) 297-5406
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Community Based Hospice Care Agency | 251G00000X | Primary |
Addresses
Primary practice location
100 N Barranca St Ste 470
West Covina, CA 91791-1637
Mailing address
100 N Barranca St Ste 470
West Covina, CA 91791-1637
Phone (909) 297-5406
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| C4257475 | Other | CA | ARTICLES OF INCORPORATION |
National Provider Directory
National Provider DirectoryLocations
100 N Barranca St
Ste 470
West Covina, CA 91791
Phone (909) 297-5406
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1554854400000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1644278400000",
"number": "1124581798",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "100 N BARRANCA ST STE 470",
"city": "WEST COVINA",
"state": "CA",
"postal_code": "917911637",
"telephone_number": "909-297-5406"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "100 N BARRANCA ST STE 470",
"city": "WEST COVINA",
"state": "CA",
"postal_code": "917911637",
"telephone_number": "909-297-5406"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "BRIDGEWAY HOSPICE INC",
"organizational_subpart": "NO",
"enumeration_date": "2019-04-10",
"last_updated": "2022-02-08",
"certification_date": "2022-02-08",
"status": "A",
"authorized_official_last_name": "SANTIAGO",
"authorized_official_first_name": "RHANIE",
"authorized_official_middle_name": "SALONGA",
"authorized_official_title_or_position": "CEO / PRESIDENT",
"authorized_official_telephone_number": "909-297-5406"
},
"taxonomies": [
{
"code": "251G00000X",
"taxonomy_group": "",
"desc": "Hospice Care, Community Based",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "ARTICLES OF INCORPORATION",
"identifier": "C4257475",
"state": "CA"
}
],
"endpoints": [],
"other_names": []
}
Other providers in West Covina, CA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 8, 2022; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.