BRIDGE OF HOPE (NPI# 1811449044) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1811449044 |
| Entity Type | Organization |
| Organization Name | BRIDGE OF HOPE |
| Other Organization Name | FAITH FOUNDATION CHILDRENS HOME |
| Practice Address |
400 N Washington St Farmington MO 63640-1716 |
| Mailing Address |
400 N Washington Potosi MISSOURI 63664 UM |
| Practice Telephone | 5734383733 |
| Practice Fax Number | 5734380046 |
| Mailing Telephone | 5734383733 |
| Enumeration Date | 2016-11-04 |
| Last Update Date | 2016-11-04 |
| Authorized Official Name | LINDA DECLUE (MANAGER) |
| Authorized Official Telephone | 5734383733 |
| Is Organization Subpart | Y |
| Parent Organization Name | FAITH FOUNDATION CHILDRENS HOME |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 322D00000X | Residential Treatment Facility, Emotionally Disturbed Children | 30402638 | MO | Residential Treatment Facilities |
| Other Name | Type Code |
|---|---|
| Faith Foundation Childrens Home | Other Name - Individual/Organization |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1134436769 | Bridge of Hope | Community/Behavioral Health | 1032 Northwood Loop, Lawrenceburg, KY 40342 | 2010-09-02 |
| 1174977888 | Bridge of Hope | Social Worker | 818 N Main St, Kissimmee, FL 34744-4564 | 2016-04-19 |
| 1477983153 | Bridge of Hope | Occupational Therapist | 1331 Kevstin Dr, Kissimmee, FL 34744-5844 | 2013-11-18 |
| Entity Type | Entity Name | Entity Address |
|---|---|---|
| Oregon Corporations, Companies and Business Names | BRIDGE OF HOPE AFRICA MINISTRIES | 2024 Ne 22nd Ave, Apt B, Portland, OR 97212 |
| Colorado Business Entities | Bridge of Hope Christian Women's Center, Inc | 35198 County Road 19, Fort Morgan, CO 80701 |
| Connecticut Business Registrations | Bridge of Hope Evangelistic Ministry Inc. | 859 East Main Street, Bridgeport, CT 06608 |
| Virginia Business Entities | Bridge Of Hope Foundation | 11350 Random Hills Rd Ste 800, Fairfax, Virginia 22030 |
| Colorado Business Entities | Bridge of Hope Greater Denver | 40 East Highlands Ranch Parkway, Highlands Ranch, CO 80126 |
| Virginia Business Entities | Bridge of Hope Harrisonburg-Rockingham | Po Box 535, Harrisonburg, Virginia 22803 |
| System for Award Management (SAM) Entities | BRIDGE OF HOPE INC | 11909 S State St, Chicago, IL 60628-6134 |
| Virginia Business Entities | Bridge of Hope INC. | 2480 Academy Rd, Powhatan, Virginia 23139 |
| Oregon Corporations, Companies and Business Names | BRIDGE OF HOPE INTERNATIONAL | 591 Gatch St, Woodburn, OR 97071 |
| Connecticut Business Registrations | BRIDGE OF HOPE INTERNATIONAL MINISTRIES, INC. | 270 Willis Ave, Bronx, NY 10454 |
| Street Address |
400 N WASHINGTON ST |
| City | FARMINGTON |
| State | MO |
| Zip Code | 63640-1716 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1396834008 | Sandra Mcintosh | Counselor | 400 N Washington St, Farmington, MO 63640-1716 | 2006-10-12 |
| 1598201527 | Heidi Allen | Social Worker | 400 N Washington St, Suite 116, Farmington, MO 63640-1716 | 2017-01-14 |
| 1215486329 | Mark Leon Reeves | Counselor | 400 N Washington St, Farmington, MO 63640-1716 | 2016-09-30 |
| 1083162218 | Dena Boyd | Counselor | 400 N Washington St, Suite 116, Farmington, MO 63640-1716 | 2016-09-16 |
| 1518325448 | Carolyn Polk | Counselor | 400 N Washington St, Suite 116, Farmington, MO 63640-1716 | 2016-02-06 |
| 1255799185 | Patrice Thibodeau | Social Worker | 400 N Washington St, Suite 116, Farmington, MO 63640-1716 | 2016-02-06 |
| 1407240252 | Robin Daher | Counselor | 400 N Washington St, Suite 116, Farmington, MO 63640-1716 | 2015-03-18 |
| 1720478167 | Terry Ziegler | Counselor | 400 N Washington St, Suite 111, Farmington, MO 63640-1716 | 2015-01-23 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1316545254 | Brenda S Halton | Nurse Practitioner | 1010 West Columbia Street, Farmington, MO 63640 | 2020-10-13 |
| 1619519089 | Stacey Nicole Gillette | Counselor | 17885 Hart Pinkston Rd, Farmington, MO 63640 | 2019-10-17 |
| 1346890696 | Christopher Ryan Massey | Social Worker | 607 Pine St., Farmington, MO 63640 | 2019-09-18 |
| 1457909376 | Clarice Ogden | Social Worker | 203 South Washington Street, Farmington, MO 63640 | 2019-09-04 |
| 1861979718 | Clint Thebeau | In Home Supportive Care | 1276 W Liberty St, Farmington, MO 63640 | 2018-07-24 |
| 1023500600 | Lynn Machelle Knox | Counselor | 219 W Columbia St, Farmington, MO 63640 | 2018-05-31 |
| 1235620576 | Kim Bazzell | Registered Nurse | 1565 Ste. Genevieve Ave., Farmington, MO 63640 | 2018-05-22 |
| 1164919742 | Lincare Inc. | Durable Medical Equipment & Medical Supplies | 774 Market St, Farmington, MO 63640 | 2018-04-18 |
| 1184127813 | Michelle Lynette Corvallis | Chiropractor | 17 South Franklin St., Farmington, MO 63640 | 2018-03-08 |
| 1992206213 | Farmington Vision Care LLC | Optometrist | 110 E Harrison St, Farmington, MO 63640 | 2018-02-22 |
| Find all providers in zip 63640 | ||||
| Taxonomy Code | 322D00000X |
| Grouping | Residential Treatment Facilities |
| Classification | Residential Treatment Facility, Emotionally Disturbed Children |
| A provider facility or distinct part of the organization which renders an interdisciplinary program of mental health treatment to individuals under 21 years of age who have persistent dysfunction in major life areas. The dysfunction is of an extent and pervasiveness that requires a protected and highly structured therapeutic environment. These organizations, or distinct part of organizations, exclude those that provide acute psychiatric care, partial hospitalization, group living, therapeutic schooling, primary diagnosis substance abuse disorder treatment, or primary diagnosis mental retardation or developmental disability treatment. |
| Notes: Source: U.S. Department of Defense Regulation 6010.8-R, Chapter 6. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1043656747 | Joseph Matthew Cauthen | Residential Treatment Facility, Emotionally Disturbed Children | 851 Andrea Dr, Farmington, NM 87401-6726 | 2013-05-21 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1609474204 | Whetstone Boys Ranch | Residential Treatment Facility, Emotionally Disturbed Children | 6850 County Road 2660, Mountain View, MO 65548-8146 | 2020-10-15 |
| 1962995993 | The Bridge Home for Children | Residential Treatment Facility, Emotionally Disturbed Children | 6033 Swope Pkwy, Kansas City, MO 64130-4461 | 2018-06-13 |
| 1437675477 | Kybama, Inc | Residential Treatment Facility, Emotionally Disturbed Children | 12729 Stoney Point Rd, Bonne Terre, MO 63628 | 2017-08-22 |
| 1568914927 | Clear Creek Counseling | Residential Treatment Facility, Emotionally Disturbed Children | 3646 N Farm Road 89, Willard, MO 65781-8330 | 2016-11-01 |
| 1619330578 | Farmer Grove Homesteads Incorporated | Residential Treatment Facility, Emotionally Disturbed Children | 533 E Bedford St, Marshfield, MO 65706-1218 | 2016-03-29 |
| 1720447212 | Corner Stones of Care | Residential Treatment Facility, Emotionally Disturbed Children | 300 E 36th St, Kansas City, MO 64111-1410 | 2016-02-12 |
| 1558729509 | Cayman's House of Hope, Inc. | Residential Treatment Facility, Emotionally Disturbed Children | 311 N Poplar St, Fair Play, MO 65649-9299 | 2016-02-05 |
| 1639503691 | Proverb Academy, Inc | Residential Treatment Facility, Emotionally Disturbed Children | 420 Carroll St, Morehouse, MO 63868 | 2013-08-27 |
| 1306147277 | Fair Haven Children's Home | Residential Treatment Facility, Emotionally Disturbed Children | 3132 N Fair Haven Loop, Strafford, MO 65757-8619 | 2010-11-09 |
| 1437470184 | Ozarks Teen Challenge | Residential Treatment Facility, Emotionally Disturbed Children | 512 Purist Lane, Branson West, MO 65737 | 2010-06-17 |
| Find all providers with the same taxonomy | ||||
| City | FARMINGTON |
| Zip Code | 63640 |
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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.