NPIMap

Organization Active NPI

Abc Home Health Care LLC

Doing business as Bridge Home Health

  • Home Health Agency
  • San Diego, CA
National Provider Identifier
1629207287
Registry record updated May 24, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Home Health AgencyTaxonomy code 251E00000X
Legal business name
ABC HOME HEALTH CARE LLC
Doing business as
Bridge Home Health
Practice address
5090 Shoreham PL Ste 109
San Diego, CA 92122-5934
Phone
(858) 455-5000
NPI assigned
Jul 4, 2009
Last updated
May 24, 2023By the provider in NPPES
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 CA Primary

Addresses

Primary practice location

5090 Shoreham PL Ste 109
San Diego, CA 92122-5934

Mailing address

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

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
O20090825000592 CA Part A Provider - Home Health Agency 2668527763 Practice locations: San Diego, CA

NPI to CCN mapping 1

The Medicare certification numbers (CCNs) connected to NPI 1629207287. Details of each certification follow.

Home health agency certification: CCN 059387

Legal name
ABC HOME HEALTH CARE LLC
Doing business as
BRIDGE HOME HEALTH
Certification status
Active
Provider type (POS)
Home health agency
Participating since
Jun 4, 2012
Last certification
Jun 18, 2021
Ownership / control type
Proprietary
Organization structure
LLCProprietary
Incorporated
Feb 10, 2017 in CA
Enrollment address
5090 Shoreham PL
Ste 109
San Diego, CA 92122-5934

Care Compare: Home health agency

Medicare Care Compare
Listed as
Bridge Home HealthCCN 059387 · All quality measures
Overall star rating
3.5 of 5
Ownership
Proprietary
Certified
Jun 4, 2012
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
05D2041358Abc Home Health Care LLC5090 Shoreham PL, Ste 109, San Diego, CA 92122Certificate of waiverMay 20, 2028

National Provider Directory

National Provider Directory

Locations

200 S Main St
Ste 310
Corona, CA 92882
Phone (951) 270-0400

5090 Shoreham Pl
Ste 109
San Diego, CA 92122
Phone (858) 455-5000

6390 Greenwich Dr
Ste 225
San Diego, CA 92122
Phone (858) 455-5000

Ownership & related parties

All disclosed owners & managing parties 7

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

NameRoleSinceShare
Katrina Parsha Individual Contracted Managing EmployeeAd; Aug 1, 2025
Operational/Managerial ControlAdministrator Aug 1, 2025
Charlene E. Burkhart Individual Contracted Managing EmployeeAdministrator Designee & DPCS Jul 1, 2025
Operational/Managerial ControlAdministrator Designee & DPCS Jul 1, 2025
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 Created for acquisition, LLC, Holding company, For-profit 5% Or Greater Direct Ownership Interest Feb 7, 2020 82.8%
Jeffrey W Mongonia Individual Corporate OfficerCeo Apr 14, 2023
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 Direct Ownership Interest Jan 1, 2017 100%
Operational/Managerial Control Jan 1, 2017

Facilities with the same owner 11

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

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

Affiliated clinicians 31

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

View all 31

NPI Registry JSON

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

{
    "created_epoch": "1246665600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1684886400000",
    "number": "1629207287",
    "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"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5090 SHOREHAM PL STE 109",
            "city": "SAN DIEGO",
            "state": "CA",
            "postal_code": "921225934",
            "telephone_number": "858-455-5000"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ABC HOME HEALTH CARE LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2009-07-04",
        "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": "CA",
            "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 San Diego, CA

Sources for this page

Verify at the official NPI Registry.