BRIDGEWAY RESIDENTIAL CARE FACILITY, LLC
NPI 1497344147
Residential Treatment Facility, Intellectual and/or Developmental Disabilities in Fulton, MO

Q: What is Bridgeway Residential Care Facility, LLC's specialty?

The primary specialty registered for this NPI is Residential Treatment Facility, Intellectual and/or Developmental Disabilities with taxonomy code 320600000X.

Active since January 15, 2021

828 JEFFERSON ST, FULTON, MO 65251(573) 642-7770(573) 642-7790 Get Directions Write a Review

NPPES record last updated: May 26, 2022. Verified against the NPPES registry weekly; last sync: August 02, 2026.

Record update history: May 26, 2022, Jan 15, 2021 (2 updates tracked since 2021).

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About Bridgeway Residential Care Facility, Llc NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

BRIDGEWAY RESIDENTIAL CARE FACILITY, LLC (NPI 1497344147) is a healthcare organization registered as a residential treatment facility, intellectual and/or developmental disabilities in Fulton, Missouri and active in the NPI registry since January 2021. The organization lists Sue Rudroff, Rn/owner, as its authorized official.

NPPES Registry Identity

NPI1497344147

Entity TypeOrganization

Primary Taxonomy320600000X

Legal Business NameBRIDGEWAY RESIDENTIAL CARE FACILITY, LLC

Location Address828 JEFFERSON STFulton, MO 65251-1877

Mailing Address828 Jefferson StFulton, MO 65251-1877 · (573) 642-7770

Phone(573) 642-7770

Fax(573) 642-7790

Organization SubpartNo

Authorized OfficialSue RudroffRn/owner · (573) 489-0246

Enumeration DateJanuary 15, 2021

Last NPPES UpdateMay 26, 20222 updates tracked since enumeration

NPPES CertifiedMay 26, 2022

✔ NPI 1497344147 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyResidential Treatment Facility, Intellectual and/or Developmental DisabilitiesResidential Treatment Facilities

Taxonomy Code320600000X

Definition

A residential facility that provides habilitation services and other care and treatment to adults or children diagnosed with developmental and intellectual disabilities and are not able to live independently.

828 JEFFERSON ST, Fulton, MO 65251

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Other Providers at the Same Location NPPES

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

RESCARE OF MISSOURI, INC.

Home Health

828 JEFFERSON ST
FULTON, MO 65251

Callaway County (573) 642-7770

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Bridgeway Residential Care Facility, LLC's NPI number?

The NPI number for Bridgeway Residential Care Facility, LLC is 1497344147. It was assigned to this organization in the NPPES registry on January 15, 2021.

Where is Bridgeway Residential Care Facility, LLC located?

Bridgeway Residential Care Facility, LLC is located at 828 Jefferson St, Fulton, MO 65251. The listed phone number is (573) 642-7770.

What is Bridgeway Residential Care Facility, LLC's specialty?

The primary specialty registered for this NPI is Residential Treatment Facility, Intellectual and/or Developmental Disabilities with taxonomy code 320600000X.

When was this NPI record last updated?

The NPPES record for Bridgeway Residential Care Facility, LLC was last updated on May 26, 2022. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 4 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.