Moberly Residential, LLC

Primary specialty

Assisted Living FacilityTaxonomy code 310400000X

Legal business name

MOBERLY RESIDENTIAL, LLC

Doing business as

Ravenwood Terrace
Ravenwood Terrace Assisted Living

Practice address

1830 Ravenwood Dr
Moberly, MO 65270-3002

Phone

(660) 263-8004

NPI assigned

May 28, 2006

Last updated

Feb 5, 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 2

• Ravenwood Terrace Doing business as
• Ravenwood Terrace 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": "1148774400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1770249600000",
    "number": "1235186982",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1830 RAVENWOOD DR",
            "city": "MOBERLY",
            "state": "MO",
            "postal_code": "652703002",
            "telephone_number": "660-263-8004"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1830 RAVENWOOD DR",
            "city": "MOBERLY",
            "state": "MO",
            "postal_code": "652703002",
            "telephone_number": "660-263-8004"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MOBERLY RESIDENTIAL, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-05-28",
        "last_updated": "2026-02-05",
        "certification_date": "2026-02-05",
        "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": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Ravenwood Terrace",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "Ravenwood Terrace",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "Ravenwood Terrace Assisted Living",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Moberly Medical Clinics Inc
• Moberly Physicians Corp
• Moberly Professional Arts Pharmacy Inc. (Buntin Pharmacy)
• Moberly Public Schools
• Moberly Radiology & Imaging I, LLC
• Moberly Surgery Center LLC (The Surgery Center of North Central Missouri)
• Lori Ann Montague, APRN, BC, FNP
• Catherine M Monti, MD, MPH
• Ashley Nicole Moore, PT, DPT
• Johnathan D Morgans, LPC

• Assisted Living Facility in Moberly, MO
• Providers in Moberly, 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 5, 2026; 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.