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ENGAGE WELLNESS MISSOURI LLC
NPI 1891670303
Substance Abuse Rehabilitation Facility in Bridgeton, MO

Active since August 06, 2025CLIA 26D2329235 · Waiver
12123 BRIDGETON SQUARE DR, BRIDGETON, MO 63044(314) 350-4135 Get Directions Write a Review

NPPES record last updated: August 6, 2025. Verified against the NPPES registry weekly; last sync: August 23, 2026.

About Engage Wellness Missouri Llc NPPES

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

ENGAGE WELLNESS MISSOURI LLC (NPI 1891670303) is a healthcare organization registered as a substance abuse rehabilitation facility in Bridgeton, Missouri and active in the NPI registry since August 2025. The organization holds a CLIA Waiver certificate valid through August 24, 2027 and lists Ryan Welch, Executive Director, as its authorized official.

NPPES Registry Identity

NPI1891670303
Entity TypeOrganization
Primary Taxonomy324500000X
Legal Business NameENGAGE WELLNESS MISSOURI LLC
Location Address12123 BRIDGETON SQUARE DRBridgeton, MO 63044-2616
Mailing Address12123 Bridgeton Square DrBridgeton, MO 63044-2616 · (314) 350-4135
Phone(314) 350-4135
Organization SubpartNo
Authorized OfficialRyan WelchExecutive Director · (954) 607-8075
Enumeration DateAugust 6, 2025
NPPES CertifiedAugust 6, 2025
✔ NPI 1891670303 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtySubstance Abuse Rehabilitation FacilityResidential Treatment Facilities
Taxonomy Code324500000X
Definition
A facility or distinct part of a facility that provides a 24 hr therapeutically planned living and rehabilitative intervention environment for the treatment of individuals with disorders in the abuse of drugs, alcohol, and other substances.
12123 BRIDGETON SQUARE DR, Bridgeton, MO 63044
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CLIA Laboratory Certificates CMS CLIA

Laboratory certificates issued under the Clinical Laboratory Improvement Amendments (CLIA) program, which sets federal quality standards for human laboratory testing in the United States. There is no official CMS crosswalk between CLIA and NPI numbers; these certificates are associated with this NPI by matching facility names, locations and phone numbers in the CMS CLIA registry.

Certificate of Waiver 26D2329235

Engage Wellness Missouri LLC · Bridgeton, MO
Active · expires Aug 24, 2027
CLIA Number26D2329235
Laboratory TypeOutpatient Substance Abus
Certificate Effective DateAugust 25, 2025
Certificate Expiration DateAugust 24, 2027
Laboratory DirectorRyan Welch
Laboratory Phone(508) 259-9851
Laboratory LocationEngage Wellness Missouri LLC12123 Bridgeton Square Drive, Bridgeton, MO 63044
CLIA data matches this NPI record on: Address Name
This certificate is issued to a laboratory to perform only waived tests.

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 Engage Wellness Missouri LLC's NPI number?

The NPI number for Engage Wellness Missouri LLC is 1891670303. It was assigned to this organization in the NPPES registry on August 6, 2025.

Where is Engage Wellness Missouri LLC located?

Engage Wellness Missouri LLC is located at 12123 Bridgeton Square Dr, Bridgeton, MO 63044. The listed phone number is (314) 350-4135.

What is Engage Wellness Missouri LLC's specialty?

The primary specialty registered for this NPI is Substance Abuse Rehabilitation Facility with taxonomy code 324500000X.

Does Engage Wellness Missouri LLC hold a CLIA laboratory certificate?

Yes. A Certificate of Waiver (number 26D2329235) is associated with this NPI, valid through August 24, 2027. CLIA certificates authorize laboratory testing under the federal Clinical Laboratory Improvement Amendments program.

When was this NPI record last updated?

The NPPES record for Engage Wellness Missouri LLC was last updated on August 6, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 12 months 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.