NPIMap

Organization Active NPI

Bridge Hospice Riverside LLC

Doing business as Bridge Hospice

  • Community Based Hospice Care Agency
  • Murrieta, CA
National Provider Identifier
1689207094
Registry record updated May 24, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Community Based Hospice Care AgencyTaxonomy code 251G00000X
Legal business name
BRIDGE HOSPICE RIVERSIDE LLC
Doing business as
Bridge Hospice
Practice address
38977 Sky Canyon Dr Ste 110
Murrieta, CA 92563-2682
Phone
(951) 332-9777
NPI assigned
Feb 14, 2020
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
Community Based Hospice Care Agency 251G00000X Primary

Addresses

Primary practice location

38977 Sky Canyon Dr Ste 110
Murrieta, CA 92563-2682

Mailing address

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

Other names 1

  • Bridge Hospice Doing business as

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20210301001008 CA Part A Provider - Hospice 2264848167 Practice locations: Murrieta, CA

NPI to CCN mapping 1

The Medicare certification numbers (CCNs) connected to NPI 1689207094. Details of each certification follow.

Hospice certification: CCN B41603

Legal name
BRIDGE HOSPICE RIVERSIDE LLC
Doing business as
BRIDGE HOSPICE
Certification status
Active
Provider type (POS)
Hospice
Participating since
May 26, 2021
Last certification
May 26, 2021
Ownership / control type
Proprietary - Corporation
Organization structure
LLCProprietary
Incorporated
Nov 21, 2019 in CA
Enrollment address
38977 Sky Canyon Dr
Ste 110
Murrieta, CA 92563-2682

Care Compare: Hospice

Medicare Care Compare
Listed as
Bridge HospiceCCN B41603 · All quality measures
Certified
May 26, 2021
Medicare certification status
ActiveFrom the Provider of Services file

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
05D2193133Bridge Hospice Riverside LLC38977 Sky Canyon Drive Suite 110, Murrieta, CA 92563Certificate of waiverSep 16, 2026

National Provider Directory

National Provider Directory

Locations

38977 Sky Canyon Dr
Ste 110
Murrieta, CA 92563
Phone (951) 297-3336

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
Nina Marie Cruz Individual Contracted Managing EmployeeAd;DPCS Designee Nov 13, 2023
Operational/Managerial ControlAdministrator & DPCS Designee Nov 13, 2023
Andrew Imparato Individual Contracted Managing EmployeeMD; Feb 1, 2026
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 Nov 21, 2019 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 Indirect Ownership Interest Aug 31, 2023 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 Nov 21, 2019 100%
Operational/Managerial Control Nov 21, 2019
Denee Adamson Individual Contracted Managing EmployeeAdministrator Designee & DPCS Jun 25, 2025
Operational/Managerial ControlAdministrator Designee & DPCS Jun 25, 2025

Owners & managing parties with NPI records 1

Owners and managing parties disclosed on this facility’s Medicare enrollment that are themselves Medicare-enrolled.

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 2

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

NPI Registry JSON

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

{
    "created_epoch": "1581638400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1684886400000",
    "number": "1689207094",
    "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": "38977 SKY CANYON DR STE 110",
            "city": "MURRIETA",
            "state": "CA",
            "postal_code": "925632682",
            "telephone_number": "951-332-9777"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "BRIDGE HOSPICE RIVERSIDE LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2020-02-14",
        "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": "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"
        },
        {
            "organization_name": "Bridge Hospice",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Murrieta, CA

Sources for this page

Verify at the official NPI Registry.