Provider Demographics
NPI:1144012956
Name:BRIDGE PALLIATIVE AND HOSPICE CARE
Entity type:Organization
Organization Name:BRIDGE PALLIATIVE AND HOSPICE CARE
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:CEO
Authorized Official - Prefix:
Authorized Official - First Name:ANDRANIK
Authorized Official - Middle Name:ANDY
Authorized Official - Last Name:KECHEJIAN
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:650-334-0333
Mailing Address - Street 1:1101 MARINA VLG PKWY STE 201 OFF 204
Mailing Address - Street 2:
Mailing Address - City:ALAMEDA
Mailing Address - State:CA
Mailing Address - Zip Code:94501
Mailing Address - Country:US
Mailing Address - Phone:
Mailing Address - Fax:
Practice Address - Street 1:1101 MARINA VLG PKWY STE 201 OFF 204
Practice Address - Street 2:
Practice Address - City:ALAMEDA
Practice Address - State:CA
Practice Address - Zip Code:94501
Practice Address - Country:US
Practice Address - Phone:650-334-0333
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2025-05-19
Last Update Date:2025-05-19
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251G00000XAgenciesHospice Care, Community Based