Lebanon Residential, LLC

Primary specialty

Assisted Living FacilityTaxonomy code 310400000X

Legal business name

LEBANON RESIDENTIAL, LLC

Doing business as

NorthRidge Place Assisted Living

Practice address

1500 Lynn St
Lebanon, MO 65536-4409

Phone

(417) 532-9793

NPI assigned

May 25, 2006

Last updated

Feb 2, 2026By the provider in NPPES

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

• NorthRidge Place Assisted Living Doing business as

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

{
    "created_epoch": "1148515200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1769990400000",
    "number": "1033165766",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1500 LYNN ST",
            "city": "LEBANON",
            "state": "MO",
            "postal_code": "655363828",
            "telephone_number": "417-532-9793"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1500 LYNN ST",
            "city": "LEBANON",
            "state": "MO",
            "postal_code": "655364409",
            "telephone_number": "417-532-9793"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "LEBANON RESIDENTIAL, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-05-25",
        "last_updated": "2026-02-02",
        "certification_date": "2026-02-02",
        "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": "NorthRidge Place Assisted Living",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Lake Regional Health System (Lake Regional Orthopedics)
• Marcia N Landers, LCSW
• Kassidy Nikole Landon
• Nathan S Larson, CRNA
• Lebanon R-3 Schools
• Lester E Cox Medical Centers (Cox Health Center Lebanon)
• Lester E Cox Medical Centers (Lebanon Therapy Services)
• Lester E Cox Medical Centers (CoxHealth Urgent Care Lebanon)
• Lester E Cox Medical Centers (Cox Health Center Lebanon)
• Lester E Cox Medical Centers (Coxhealth Center Lebanon)

• Assisted Living Facility in Lebanon, MO
• Providers in Lebanon, 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 Feb 2, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.