Ridgeway Residential Care

Primary specialty

Assisted Living Facility (Behavioral Disturbances)Taxonomy code 3104A0630X

Legal business name

RIDGEWAY RESIDENTIAL CARE

Practice address

431 Russell Rd
Sullivan, MO 63080-2228

Phone

(314) 608-5918

Fax

(573) 468-5368

NPI assigned

Nov 7, 2006

Organization subpart

No

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name

Ms. Deborah Joy Turner

Title

Owner

Phone

(314) 608-5918

Specialties & licenses 1

Addresses

Other identifiers 1

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1162857600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1214352000000",
    "number": "1033288899",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 267",
            "address_2": "431 RUSSELL ROAD",
            "city": "SULLIVAN",
            "state": "MO",
            "postal_code": "630800267",
            "telephone_number": "314-608-5918",
            "fax_number": "573-468-5368"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "431 RUSSELL RD",
            "city": "SULLIVAN",
            "state": "MO",
            "postal_code": "630802228",
            "telephone_number": "314-608-5918",
            "fax_number": "573-468-5368"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "RIDGEWAY RESIDENTIAL CARE",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-11-07",
        "last_updated": "2008-06-25",
        "status": "A",
        "authorized_official_last_name": "TURNER",
        "authorized_official_first_name": "DEBORAH",
        "authorized_official_middle_name": "JOY",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "314-608-5918",
        "authorized_official_name_prefix": "Ms."
    },
    "taxonomies": [
        {
            "code": "3104A0630X",
            "taxonomy_group": "",
            "desc": "Assisted Living Facility, Assisted Living, Behavioral Disturbances",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "267903607",
            "state": "MO"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Gena K Rasmussen, MOTR L
• Krystle Ann Reed, FNP-BC
• Lindsey Donna Reichert
• Roger J. Rembecki, MD
• Jose Remo, MD
• Jason T Riley, O.D.
• Kelcey Roehrs
• Aaron Chauncey Rowbottom, D.D.S.
• Rachel Saltzman
• Om Sam, MD

• Assisted Living Facility (Behavioral Disturbances) in Sullivan, MO
• Providers in Sullivan, MO by specialty
• Assisted Living Facility (Behavioral Disturbances) in Missouri

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 25, 2008; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.