Active NPI
Bridge to Gratitude LLC
- Mental Illness Community Based Residential Treatment Facility
- Eastvale, CA
National Provider Identifier
1770124265
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Mental Illness Community Based Residential Treatment Facility
- 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, 2025
- 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
- Mr. Laron Christopher Randolph Jr.
- Title
- Director
- Phone
- (619) 600-9595
Specialties & licenses 7
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| 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
| Type | Endpoint | Use | Affiliation |
|---|---|---|---|
| CONNECT URL | Lrandolph@gratitudegranted.org | Direct |
National Provider Directory
National Provider DirectoryLocations
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.