Organization Active NPI

Bridge to Gratitude LLC

  • Mental Illness Community Based Residential Treatment Facility
  • Eastvale, CA
National Provider Identifier
1770124265
Registry record updated Mar 25, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Mental Illness Community Based Residential Treatment FacilityTaxonomy code 320800000X
Legal business name
BRIDGE TO GRATITUDE LLC
Practice address
6071 Gold Spirit St
Eastvale, CA 92880-0989
Phone
(619) 600-9595
NPI assigned
Oct 5, 2019
Last updated
Mar 25, 2025By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Mar 25, 2025

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

Authorized official

Name
Mr. Laron Christopher Randolph Jr.
Title
Director
Phone
(619) 600-9595

Specialties & licenses 7

Specialty (taxonomy)CodeLicenseStatePrimary
Counselor 101Y00000X NU
Case Management Agency 251B00000X NU
Mental Illness Community Based Residential Treatment Facility 320800000X NU Primary
Intellectual and/or Developmental Disabilities Community Based Residential Treatment Facility 320900000X NU
Emotionally Disturbed Childrens' Residential Treatment Facility 322D00000X NU
Respite Care 385H00000X NU
Child Intellectual and/or Developmental Disabilities Respite Care 385HR2060X NU

Addresses

Primary practice location

6071 Gold Spirit St
Eastvale, CA 92880-0989

Mailing address

1801 Town and Country Dr Unit 5944
Norco, CA 92860-8197
Phone (619) 600-9595

Electronic endpoints 1

TypeEndpointUseAffiliation
CONNECT URL Lrandolph@gratitudegranted.org Direct

National Provider Directory

National Provider Directory

Locations

1801 Town and Country Dr
Unit 5944
Norco, CA 92860

NPI Registry JSON

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

{
    "created_epoch": "1570233600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1742860800000",
    "number": "1770124265",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1801 TOWN AND COUNTRY DR UNIT 5944",
            "city": "NORCO",
            "state": "CA",
            "postal_code": "928608197",
            "telephone_number": "619-600-9595"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6071 GOLD SPIRIT ST",
            "city": "EASTVALE",
            "state": "CA",
            "postal_code": "928800989",
            "telephone_number": "619-600-9595"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "BRIDGE TO GRATITUDE LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2019-10-05",
        "last_updated": "2025-03-25",
        "certification_date": "2025-03-25",
        "status": "A",
        "authorized_official_last_name": "RANDOLPH",
        "authorized_official_first_name": "LARON",
        "authorized_official_middle_name": "CHRISTOPHER",
        "authorized_official_title_or_position": "DIRECTOR",
        "authorized_official_telephone_number": "619-600-9595",
        "authorized_official_name_prefix": "Mr.",
        "authorized_official_name_suffix": "Jr."
    },
    "taxonomies": [
        {
            "code": "101Y00000X",
            "taxonomy_group": "",
            "desc": "Counselor",
            "state": "NU",
            "license": null,
            "primary": false
        },
        {
            "code": "251B00000X",
            "taxonomy_group": "",
            "desc": "Case Management",
            "state": "NU",
            "license": null,
            "primary": false
        },
        {
            "code": "320800000X",
            "taxonomy_group": "",
            "desc": "Community Based Residential Treatment Facility, Mental Illness",
            "state": "NU",
            "license": null,
            "primary": true
        },
        {
            "code": "320900000X",
            "taxonomy_group": "",
            "desc": "Community Based Residential Treatment Facility, Intellectual and/or Developmental Disabilities",
            "state": "NU",
            "license": null,
            "primary": false
        },
        {
            "code": "322D00000X",
            "taxonomy_group": "",
            "desc": "Residential Treatment Facility, Emotionally Disturbed Children",
            "state": "NU",
            "license": null,
            "primary": false
        },
        {
            "code": "385H00000X",
            "taxonomy_group": "",
            "desc": "Respite Care",
            "state": "NU",
            "license": null,
            "primary": false
        },
        {
            "code": "385HR2060X",
            "taxonomy_group": "",
            "desc": "Respite Care, Respite Care, Intellectual and/or Developmental Disabilities, Child",
            "state": "NU",
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "CONNECT",
            "endpointTypeDescription": "CONNECT URL",
            "endpoint": "Lrandolph@gratitudegranted.org",
            "affiliation": "N",
            "endpointDescription": "Secured Email",
            "use": "DIRECT",
            "useDescription": "Direct",
            "contentType": "CSV",
            "contentTypeDescription": "CSV",
            "address_1": "6071 Gold Spirit St",
            "city": "Eastvale",
            "state": "CA",
            "country_code": "US",
            "postal_code": "928800989",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Eastvale, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 25, 2025; 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.