Ronal C Bridewell Christian Adult Day Care

Primary specialty

Custodial Care FacilityTaxonomy code 311Z00000X

License

664 Issued in MO

Legal business name

RONAL C BRIDEWELL CHRISTIAN ADULT DAY CARE

Practice address

2822 Dr. Martin Luther King Jr. Drive
Saint Louis, MO 63106

Phone

(314) 531-3388

Fax

(314) 531-8600

NPI assigned

Jun 15, 2007

Last updated

May 1, 2008By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Mrs. Madeline Naveda Bridewell

Title

Director

Phone

(314) 531-3388

Specialties & licenses 1

Addresses

Other identifiers 1

Other names 1

• rcb christian adult day care Other name

Locations

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

{
    "created_epoch": "1181865600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1209600000000",
    "number": "1811192396",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2822 DR. MARTIN LUTHER KING JR. DRIVE",
            "city": "SAINT LOUIS",
            "state": "MO",
            "postal_code": "63106",
            "telephone_number": "314-531-3388",
            "fax_number": "314-531-8600"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2822 DR. MARTIN LUTHER KING JR. DRIVE",
            "city": "SAINT LOUIS",
            "state": "MO",
            "postal_code": "63106",
            "telephone_number": "314-531-3388",
            "fax_number": "314-531-8600"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "RONAL C BRIDEWELL CHRISTIAN ADULT DAY CARE",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-06-15",
        "last_updated": "2008-05-01",
        "status": "A",
        "authorized_official_last_name": "BRIDEWELL",
        "authorized_official_first_name": "MADELINE",
        "authorized_official_middle_name": "NAVEDA",
        "authorized_official_title_or_position": "DIRECTOR",
        "authorized_official_telephone_number": "314-531-3388",
        "authorized_official_name_prefix": "Mrs."
    },
    "taxonomies": [
        {
            "code": "311Z00000X",
            "taxonomy_group": "",
            "desc": "Custodial Care Facility",
            "state": "MO",
            "license": "664",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "296158603",
            "state": "MO"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "rcb christian adult day care",
            "code": "5",
            "type": "Other Name"
        }
    ]
}

• Ernesto Javier Romo, MD
• Jennifer Romo, PSY.D.
• Gary L Romoser, R.PH
• Edeltraud S Romvari, FNP
• Matthew Ronai, PA-C
• Ronald Dicker Inc.
• Ronald J. Gaskin LLC
• Ronald R Mainhurst DMD PC
• Danielle M Ronco, PMHNP-BC
• Jeffery Alan Ronecker, D.M.D.

• Custodial Care Facility in Saint Louis, MO
• Providers in Saint Louis, MO by specialty
• Custodial Care Facility in Missouri

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 1, 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.