NPIMap

Organization Active NPI

Bridge Home Health Riverside LLC

Doing business as Bridge Home Health

  • Home Health Agency
  • Murrieta, CA
National Provider Identifier
1174092423
Registry record updated May 24, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Home Health AgencyTaxonomy code 251E00000X
Legal business name
BRIDGE HOME HEALTH RIVERSIDE LLC
Doing business as
Bridge Home Health
Practice address
38977 Sky Canyon Dr Ste 115
Murrieta, CA 92563-2682
Phone
(951) 332-9777
NPI assigned
Nov 15, 2018
Organization subpart
No

NPPES NPI Registry

Updated by the provider on May 24, 2023

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

Authorized official

Name
Jeff Mongonia
Title
Ceo
Phone
(858) 251-4242

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Home Health Agency 251E00000X Primary

Addresses

Primary practice location

38977 Sky Canyon Dr Ste 115
Murrieta, CA 92563-2682

Mailing address

3636 Nobel Dr Ste 450
San Diego, CA 92122-1062
Phone (708) 218-1661

Other names 1

  • Bridge Home Health Doing business as

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in CA

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20190226000730 CA Part A Provider - Home Health Agency 2961741541 Practice locations: Murrieta, CA

NPI to CCN mapping 1

The Medicare certification numbers (CCNs) connected to NPI 1174092423. Details of each certification follow.

Home health agency certification: CCN 559145

Legal name
BRIDGE HOME HEALTH RIVERSIDE LLC
Doing business as
BRIDGE HOME HEALTH
Certification status
Active
Provider type (POS)
Home health agency
Participating since
Feb 13, 2020
Last certification
Feb 13, 2020
Ownership / control type
Proprietary
Organization structure
LLCProprietary
Incorporated
Nov 8, 2018 in CA
Enrollment address
38977 Sky Canyon Dr
Ste 115
Murrieta, CA 92563-2682

Care Compare: Home health agency

Medicare Care Compare
Listed as
Bridge Home HealthCCN 559145 · All quality measures
Overall star rating
3.5 of 5
Ownership
Proprietary
Certified
Feb 13, 2020
Medicare certification status
ActiveFrom the Provider of Services file
Services
Nursing, Medical social, Home health aide, Physical therapy, Speech pathology, Occupational therapy

Laboratory certificates & supplier records

Derived by NPIMap

These CMS records do not include an NPI. They are shown because their name and street address match this provider’s.

CLIA laboratory certificates

CLIA numberLaboratoryCertificateExpires
05D2160493Bridge Home Health Riverside, LLC38977 Sky Canyon Dr Ste 115, Murrieta, CA 92563Certificate of waiverJan 10, 2027

National Provider Directory

National Provider Directory

Locations

38975 Sky Canyon Dr
Ste 115
Murrieta, CA 92563

38975 Sky Canyon Dr
Ste 208
Murrieta, CA 92563
Phone (951) 332-9777

38975 Sky Canyon Dr
Ste 308
Murrieta, CA 92563

38977 Sky Canyon Dr
Ste 115
Murrieta, CA 92563
Phone (951) 332-9777

Ownership & related parties

All disclosed owners & managing parties 8

As disclosed on the Medicare enrollment (CMS All Owners files). Individuals include officers, directors and managing employees, who may not hold ownership.

NameRoleSinceShare
Kari a Gregory Individual Contracted Managing EmployeeAd; Nov 13, 2023
Operational/Managerial ControlAdministrator Nov 13, 2023
Bridge Group Holdco LLC Organization, San Diego, CA Created for acquisition, LLC, Holding company, For-profit, Owned by another organization or individual 5% Or Greater Indirect Ownership Interest Feb 7, 2020 100%
Vincent Castaldo Individual Corporate OfficerCfo May 29, 2024
Ahp HH&H Holdco LLC Organization, New York, NY LLC, Holding company, For-profit 5% Or Greater Indirect Ownership Interest Feb 7, 2020 82.8%
Jeffrey W Mongonia Individual Corporate OfficerCeo Apr 14, 2023
Bridge Home Health Riverside Holdings LLC Organization, San Diego, CA Created for acquisition, LLC, Holding company, For-profit, Owned by another organization or individual 5% Or Greater Direct Ownership Interest Jan 28, 2020 100%
Bridge Group HH Inc Organization, San Diego, CA Created for acquisition, Corporation, Holding company, For-profit, Owned by another organization or individual 5% Or Greater Indirect Ownership Interest Jan 28, 2020 100%
Operational/Managerial Control Nov 8, 2018
Nicole Whittaker Individual Contracted Managing EmployeeAdministrator Designee & DPCS Nov 20, 2023
Operational/Managerial ControlAdministrator Designee & DPCS Nov 20, 2023

Facilities with the same owner 11

Facilities that share an organizational owner with 5% or greater ownership or operational control.

Practitioners & affiliated clinicians

Affiliated clinicians 30

Clinicians who list this facility as an affiliation in Medicare Care Compare.

View all 30

NPI Registry JSON

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

{
    "created_epoch": "1542240000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1684886400000",
    "number": "1174092423",
    "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": "708-218-1661"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "38977 SKY CANYON DR STE 115",
            "city": "MURRIETA",
            "state": "CA",
            "postal_code": "925632682",
            "telephone_number": "951-332-9777"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "BRIDGE HOME HEALTH RIVERSIDE LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2018-11-15",
        "last_updated": "2023-05-24",
        "certification_date": "2023-05-24",
        "status": "A",
        "authorized_official_last_name": "MONGONIA",
        "authorized_official_first_name": "JEFF",
        "authorized_official_title_or_position": "CEO",
        "authorized_official_telephone_number": "858-251-4242"
    },
    "taxonomies": [
        {
            "code": "251E00000X",
            "taxonomy_group": "",
            "desc": "Home Health",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Bridge Home Health",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "Bridge Home Health",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Murrieta, CA

Sources for this page

Verify at the official NPI Registry.