NPI 1598712192

Jefferson City Residential, LLC

Organisation Assisted Living Facility Jefferson City, MO

Practice location

Address: 3335 N Ten Mile Dr, Jefferson City, MO 65109-0528
Phone: (573) 635-2600

Authorised official

Name: Kyle Timothy Schade
Title: Manager
Phone: (573) 471-1113

Registered specialties

Assisted Living Facility Primary

Nursing & Custodial Care Facilities Taxonomy 310400000X

Other Assisted Living Facility providers in Missouri →

Registry record

NPI: 1598712192
Entity type: Organization
NPI issued: 28 May 2006
Record last updated: 2 Feb 2026

Reproduced from NPPES, the federal provider registry. The date above is when the provider last updated their own entry, not when we fetched it - a record can be years old and still current in the registry.