RIDGEWAY RESIDENTIAL CARE (NPI# 1033288899) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1033288899 |
| Entity Type | Organization |
| Organization Name | RIDGEWAY RESIDENTIAL CARE |
| Practice Address |
431 Russell Rd Sullivan MO 63080-2228 |
| Mailing Address |
Po Box 267 431 Russell Road Sullivan MO 63080-0267 |
| Practice Telephone | 3146085918 |
| Practice Fax Number | 5734685368 |
| Mailing Telephone | 3146085918 |
| Mailing Fax Number | 5734685368 |
| Enumeration Date | 2006-11-07 |
| Last Update Date | 2008-06-25 |
| Authorized Official Name | MS. DEBORAH JOY TURNER (OWNER) |
| Authorized Official Telephone | 3146085918 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 3104A0630X |
Assisted Living Facility Specialization: Assisted Living, Behavioral Disturbances |
Nursing & Custodial Care Facilities |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| MO | 267903607 | 05 |
| Street Address |
431 RUSSELL RD |
| City | SULLIVAN |
| State | MO |
| Zip Code | 63080-2228 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1669896650 | Lindsay Nicole Arnette | Physical Therapist | 940 Mattox Drive, Meramec Nursing Center, Sullivan, MO 63080 | 2014-02-11 |
| 1407099500 | Victorian Manor of Sullivan | Assisted Living Facility | 1250 East Springfield Rd, Sullivan, MO 63080 | 2009-04-20 |
| 1578729992 | Bio-medical Applications of Missouri, Inc. | Clinic/Center | 123 Progress Parkway, Sullivan, MO 63080 | 2008-08-05 |
| 1386826089 | Sellers Family Chiropractic PC | Chiropractor | 405 Wal Mart Drive, Sullivan, MO 63080 | 2007-12-04 |
| 1740495282 | Tasha Marie Rodriguez | Physical Therapist | 107 Congress Dr., Sullivan, MO 63080 | 2007-05-10 |
| 1033261649 | Clyde William Sellers II | Chiropractor | 405 Walmart Dr., Sullivan, MO 63080 | 2007-01-17 |
| 1407954209 | Sara Skidmore | Occupational Therapist | 2022 Phoenix Drive, Sullivan, MO 63080 | 2006-09-20 |
| 1083724116 | Sharon A Titter | Physical Therapist | 107 Progress Dr, Sullivan, MO 63080 | 2006-08-30 |
| 1437135571 | Thanh Duy Vo | Pediatrics | 486 N Church St, Sullivan, MO 63080 | 2005-12-20 |
| 1508849316 | Air Evac Ems Inc | Ambulance | 673 Sappington Bridge Rd, Sullivan, MO 63080 | 2005-11-25 |
| Find all providers in zip 63080 | ||||
| Taxonomy Code | 3104A0630X |
| Grouping | Nursing & Custodial Care Facilities |
| Classification | Assisted Living Facility |
| Specialization | Assisted Living, Behavioral Disturbances |
| A facility providing supportive services to individuals who can function independently in most areas of activity, but exhibit abnormal behavioral responses and habits and therefore need special guidance, assistance and/or monitoring to assure safety and well being. This type of facility requires a staff with special training in dealing with and redirecting negative, violent or destructive behaviors. |
| Notes: [7/1/2003: new] |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1427269828 | Davis Health Care, Inc. | Assisted Living Facility | 2826 Campbell St, Kansas City, MO 64109-1124 | 2007-05-25 |
| 1679641229 | Hulett Enterprises Dba Stovers Residential Care Facility | Assisted Living Facility | 520 E 5th St, Milan, MO 63556-1222 | 2006-12-01 |
| 1245720192 | Welltower Opco Group LLC | Assisted Living Facility | 45 E Lockwood Ave, Webster Groves, MO 63119-3050 | 2018-05-16 |
| 1356698930 | Jamieson Care LLC | Assisted Living Facility | 3715 Jamieson Ave, Saint Louis, MO 63109-1109 | 2012-08-13 |
| 1003178740 | Reliant Care Rehabilitative Service | Assisted Living Facility | 1734 Market St, Hannibal, MO 63401-4025 | 2012-06-08 |
| 1376804476 | Reliant Care Rehabilitative Services | Assisted Living Facility | 1734 Market St, Hannibal, MO 63401-4025 | 2012-06-05 |
| 1679889711 | Judy C Funk Lscw Clinical Social Work LLC | Assisted Living Facility | 5103 Sw Surf Scooter St, Lees Summit, MO 64082-4599 | 2010-08-26 |
| 1134397524 | Davis Health Care, Inc. | Assisted Living Facility | 2905 Campbell St, Kansas City, MO 64109-1417 | 2008-02-19 |
| 1134271885 | Complete Health Care Solutions, Inc | Assisted Living Facility | 303 S Main St, Fayette, MO 65248-1270 | 2007-01-16 |
| 1255495420 | Complete Health Care Solutions, Inc | Assisted Living Facility | 303 S Main St, Fayette, MO 65248-1270 | 2006-12-21 |
| Find all providers with the same taxonomy | ||||
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| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.