Cape Girardeau Residential. LLC

Primary specialty

Assisted Living FacilityTaxonomy code 310400000X

Legal business name

CAPE GIRARDEAU RESIDENTIAL. LLC

Practice address

2910 Beaver Creek Dr
Cape Girardeau, MO 63701-1732

Phone

(573) 651-0199

NPI assigned

May 27, 2006

Organization subpart

No

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

Authorized official

Name

Kyle Timothy Schade

Title

Manager

Phone

(573) 471-1113

Specialties & licenses 1

Addresses

Other names 1

• Auburn Creek Assisted Living Doing business as

These CMS records do not include an NPI. They are shown because their name and street address match this provider’s.

CLIA laboratory certificates

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

{
    "created_epoch": "1148688000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1762732800000",
    "number": "1003863994",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2910 BEAVER CREEK DR",
            "city": "CAPE GIRARDEAU",
            "state": "MO",
            "postal_code": "637011732"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2910 BEAVER CREEK DR",
            "city": "CAPE GIRARDEAU",
            "state": "MO",
            "postal_code": "637011732",
            "telephone_number": "573-651-0199"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CAPE GIRARDEAU RESIDENTIAL. LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-05-27",
        "last_updated": "2025-11-10",
        "certification_date": "2025-11-10",
        "status": "A",
        "authorized_official_last_name": "SCHADE",
        "authorized_official_first_name": "KYLE",
        "authorized_official_middle_name": "TIMOTHY",
        "authorized_official_title_or_position": "MANAGER",
        "authorized_official_telephone_number": "573-471-1113"
    },
    "taxonomies": [
        {
            "code": "310400000X",
            "taxonomy_group": "",
            "desc": "Assisted Living Facility",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Auburn Creek Assisted Living",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Cape Girardeau Operations, LLC
• Cape Girardeau Outpatient Surgery Center
• Cape Girardeau Physician Services LLC
• Cape Girardeau PT LLC
• Cape Girardeau Public School District
• Cape Girardeau Surgical Clinic, Inc.
• Cape Girardeau Surgical Supply LLC
• Cape Girardeau Urology Associates, Inc.
• Cape Home Oxygen, LLC
• Cape Laboratory & Pathology, LC

• Assisted Living Facility in Cape Girardeau, MO
• Providers in Cape Girardeau, MO by specialty
• Assisted Living Facility in Missouri

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 10, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.