BRIDGE TO GRATITUDE LLC – NPI #1770124265
Community Based Residential Treatment Facility, Mental Illness

A home-like residential facility providing psychiatric treatment and psycho/social rehabilitative services to individuals diagnosed with mental illness.

BRIDGE TO GRATITUDE LLC is a community based residential treatment facility located in EASTVALE, CA. NPPES has assigned the NPI number 1770124265 to BRIDGE TO GRATITUDE LLC on October 05, 2019. It is a Type-2 NPI, indicating this NPI number is associated with an organization. With multiple taxonomy codes selected, the primary taxonomy selected by this provider is 320800000X from the Health Care Provider Taxonomy code set, which is classified as Community Based Residential Treatment Facility, Mental Illness. Bear in mind that having a taxonomy code selected doesn't replace any credentialing or validation process that may be required by law.

The NPI profile was last updated on Mar 25, 2025. Use the NPI data found here to bill health insurance companies, identify providers enrolled in Medicare and Medicaid services or other HIPAA compliant transactions. See the complete NPI profile for BRIDGE TO GRATITUDE LLC below.

NPI Profile for
BRIDGE TO GRATITUDE LLC

NPI Number
1770124265
Enumeration Date

(more than 6 years ago)
Entity Type
Type-2  Organization
Organization health care providers may have a single employee or thousands of employees. An example is an incorporated individual who is an organization's only employee.
Legal Name
BRIDGE TO GRATITUDE LLC
Primary location
6071 GOLD SPIRIT ST
EASTVALE, CA 92880-0989
Phone: (619) 600-9595 Fax:
Mailing address
1801 TOWN AND COUNTRY DR UNIT 5944
NORCO, CA 92860-8197
Phone: (619) 600-9595 Fax:
Organization Subpart
No
Authorized Official
LARON RANDOLPH
DIRECTOR
Phone: (619) 600-9595
Updated
Certification Date
Mar 25, 2025

Note: NPPES allows providers to attest to the accuracy of their NPI data. When a provider request any change to the NPI record, they will be able to attest to their changed NPI data, resulting in an updated certification date.

Taxonomy Code(s)

A taxonomy code is a code that describes the health care service provider's type, classification, and the area of specialization. The primary specialty for this provider is indicated as (Primary) below.

The taxonomy codes are selected by the provider at the time of NPI registration. Selection of a taxonomy code does not replace any credentialing or validation process that the provider requesting the code should complete.

Endpoint

Health Information Exchange (HEI)

HEI is the mobilization of health care information electronically across organizations within a region, community or hospital system. Endpoints provide a simple and secure way for participants to send authenticated, encrypted health information directly to known, trusted recipients over the internet such as primary care physicians, specialists, hospitals, labs, etc.

Endpoint
[email protected]
Endpoint type
CONNECT URL
Endpoint Description
SECURED EMAIL
Content Type
CSV
Affiliation
N
Endpoint Location
6071 GOLD SPIRIT ST,
EASTVALE, CA 77025-1669