BRIDGE HOSPICE
NPI 1396173597
Hospice Care, Community Based in San Diego, CA
About Bridge Hospice NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
BRIDGE HOSPICE (NPI 1396173597) is a healthcare organization registered as a hospice care, community based in San Diego, California and active in the NPI registry since October 2013. The organization lists Jeff Mongonia, Ceo, as its authorized official.
NPPES Registry Identity
Specialties & Licenses
Other Names 1
Other Identifiers 2
Medicare Participation & PECOS CMS
Medicare enrollment and revalidation status from CMS.
Medicare Enrollment Status
Enrolled in Medicare (PECOS)
Bridge Hospice is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).
Medicare Revalidation Due Date
Revalidation due by February 28, 2027
Medicare-enrolled providers and suppliers confirm their enrollment information with CMS on a set cycle, every 5 years for most and every 3 years for medical equipment suppliers. CMS sets the due date for each enrollment.
Other Providers at the Same Location NPPES
Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.
SAN DIEGO, CA 92122
Frequently Asked Questions NPPES & CMS
Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.
What is Bridge Hospice, LLC's NPI number?
The NPI number for Bridge Hospice, LLC is 1396173597. It was assigned to this organization in the NPPES registry on October 24, 2013. The provider is doing business as Bridge Hospice.
Where is Bridge Hospice, LLC located?
Bridge Hospice, LLC is located at 5090 Shoreham Pl Ste 209, San Diego, CA 92122. The listed phone number is (582) 775-2008.
What is Bridge Hospice, LLC's specialty?
The primary specialty registered for this NPI is Hospice Care, Community Based with taxonomy code 251G00000X.
Is Bridge Hospice, LLC enrolled in Medicare?
Yes. Bridge Hospice, LLC is registered in the Medicare PECOS enrollment system.
When is Bridge Hospice, LLC's Medicare revalidation due?
According to the CMS Revalidation Due Date List (October 2026 release), the Medicare Part A enrollment for this organization (California, Hospice) is due for revalidation by February 28, 2027. Medicare providers and suppliers revalidate their enrollment every 5 years, and medical equipment suppliers every 3 years. Confirm current requirements with your Medicare Administrative Contractor.
When was this NPI record last updated?
The NPPES record for Bridge Hospice, LLC was last updated on May 24, 2023. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 3 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.
# Bridge Hospice · NPI 1396173597
Hospice Care, Community Based organization in San Diego, California. Organization record, active in the CMS NPPES registry since October 24, 2013.
## Identity
- **NPI:** 1396173597 (Entity type: Organization)
- **Enumerated:** October 24, 2013
- **Primary specialty:** Hospice Care, Community Based · taxonomy 251G00000X
- **Legal business name:** Bridge Hospice, Llc
- **Organization subpart:** No
- **Authorized official:** Jeff Mongonia, CEO
## Practice location
- **Address:** 5090 SHOREHAM PL STE 209, San Diego, CA 92122-5935
- **Phone:** (582) 775-2008
## Medicare
- **Medicare:** Enrolled in Medicare (PECOS)
- **Medicare revalidation due:** February 28, 2027 (Part A, California, Hospice) · CMS Revalidation Due Date List, October 2026 release
## Record status
- **NPPES last updated:** May 24, 2023
- **Other identifiers:** Medicaid 75-1568 (CA); Other 4635898332 (CA)
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Source: [NPI Profile](https://npiprofile.com/npi/1396173597) · Data from the CMS NPPES public registry.