Healthcare Provider Details
I. General information
NPI: 1609798842
Provider Name (Legal Business Name): BRIDGE2CARE TRANSPORTATION LLC
Entity Type: Organization
Gender:
Sole Proprietor:
II. Dates (important events)
Enumeration Date: 07/28/2026
Last Update Date: 07/28/2026
Certification Date: 07/28/2026
Deactivation Date:
Reactivation Date:
III. Provider practice location address
495 E 3RD ST APT S4
SAN BERNARDINO CA
92410-4941
US
IV. Provider business mailing address
495 E 3RD ST APT S4
SAN BERNARDINO CA
92410-4941
US
V. Phone/Fax
- Phone: 909-800-6278
- Fax:
- Phone: 909-800-6278
- Fax:
VI. Provider taxonomy
Scope of Practice (Provider specialty)
| # 1 | |
| Primary Taxonomy | Y |
| Taxonomy Code | 343900000X |
| Taxonomy | Non-emergency Medical Transport (VAN) |
| License Number | |
| License Number State | |
VIII. Authorized Official
Name:
SIMON
AROLDO
CUPA
Title or Position: OWNER
Credential:
Phone: 909-800-6278