Organization Active NPI

Capetown Residential, LLC

  • Assisted Living Facility
  • Cape Girardeau, MO
National Provider Identifier
1174570030
Registry record updated Nov 10, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Assisted Living FacilityTaxonomy code 310400000X
Legal business name
CAPETOWN RESIDENTIAL, LLC
Practice address
2857 Cape Lacroix Rd
Cape Girardeau, MO 63701-8588
Phone
(573) 334-4855
NPI assigned
May 27, 2006
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Nov 10, 2025

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

Specialty (taxonomy)CodeLicenseStatePrimary
Assisted Living Facility 310400000X Primary

Addresses

Primary practice location

2857 Cape Lacroix Rd
Cape Girardeau, MO 63701-8588

Mailing address

2857 Cape Lacroix Rd
Cape Girardeau, MO 63701-8588

Other names 2

  • Capetown Assisted Living Doing business as
  • Capetown Assissted Living Former legal business name

Laboratory certificates & supplier records

Derived by NPIMap

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

CLIA laboratory certificates

CLIA numberLaboratoryCertificateExpires
26D1021217Capetown Assisted Living2857 Cape la Croix Road, Cape Girardeau, MO 63701Certificate of waiverJan 14, 2028

National Provider Directory

National Provider Directory
Tax ID family
Capetown Alf by Americare2 organizations share this tax ID, including this one

Other organizations with this tax ID 1

Organizations that report the same tax identification number in the National Provider Directory.

NPI Registry JSON

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": "1174570030",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2857 CAPE LACROIX RD",
            "city": "CAPE GIRARDEAU",
            "state": "MO",
            "postal_code": "637018588"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2857 CAPE LACROIX RD",
            "city": "CAPE GIRARDEAU",
            "state": "MO",
            "postal_code": "637018588",
            "telephone_number": "573-334-4855"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CAPETOWN 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": "Capetown Assisted Living",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "Capetown Assissted Living",
            "code": "4",
            "type": "Former Legal Business Name"
        }
    ]
}

Other providers in Cape Girardeau, MO

Sources for this page

  • 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.